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MAIL IN DONATION / SUBSCRIPTION FORM

Count me in! Enclosed please find my one-time contribution of:

__$35 __$50 __$100 __$250 __$500 __ $1000+ __other $____

___ Please charge my donation to my credit card (see below)

___ Please contact me about becoming more active with Global Justice Ecology Project.

___ I want to support Global Justice Ecology Project on a monthly basis. My credit card pledge per month is:

___$10 ___$25 ___$35 ___$50 ___$100+ ___$ other______

Credit card information: Visa or Mastercard (circle one)

Credit card # _________________________________________ Exp. Date ____________

Name as it appears on card:____________________________________________________

Address:_____________________________________________________________________

(Please be sure the address above is the same as the address on your credit card account. Monthly donations will be charged on or about the first of every month.)

Tax-deduction:
Global Justice Ecology Project is a 501(c)(3) non-profit organization. All contributions are tax-deductible.

Foreign Contributions:
Please send funds in US dollars by check or with a credit card

Make checks payable and mail this slip to:
GJEP
PO Box 412
Hinesburg, VT 05461 USA