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PACD Endowment Fund

Click Here to download this form in MS Word.

The PACD Endowment Fund was created to house gifts and cash donations made to the PACD. The fund is held in trust in order to assist PACD in accomplishing its mission.

I'm ready to help PACD forge a strong future for conservation, by contributing to the PACD Endowment Fund:

_____$25 _____$100 _____$500 _____Other: $________
_____$50 _____$250 _____$1,000  

Each gift is deductible for tax purposes. Each is acknowledged with an appropriate card sent according to your wishes.

Please print legibly:

Date: ___________________________

Name: _________________________________________________________________

Mailing Address: _________________________________________________________

City/State: ____________________________________ Zip: ______________________

County: ________________________________________________________________

Phone: (_____) ____________________   Fax: (_____) __________________________

E-mail: ________________________________________________________________

How do you wish card signed? ______________________________________________

In Honor of: ____________________________________________________________

In Memory of: __________________________________________________________

On the Occasion of: ______________________________________________________

Send acknowledgment to:

Name: ________________________________________________________________

Address: ______________________________________________________________

City/State: _____________________________________________ Zip: ____________

Payment Method: (Select one.) ___ Visa ___ MasterCard ___ Check made payable to PACD (Check Number: _______________________________)

For Credit Card Payments: (We must have the following to process your order.)

**Note: Cardholder Name and Billing Address must be entered exactly as they appear on the credit card statement.**

_____________________________________________________
Cardholder Name

_____________________________________________________
Billing Address

_______________________________ ________ _____________
City                                                         State          Zip

______________________________________ ______________
Card Number                                                        Expiration Date

_____________________________________________________
Cardholder Signature

Please mail this form to:

PACD
25 North Front Street
Harrisburg, PA 17101

Thank you.

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