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Donation Form

YES, I would like to support the Western Environmental Law Center!

  *  Contribute by phone. Call (541) 485-2471.
  *  Contribute by mail. Print and complete this form and send to:

            Western Environmental Law Center
            1216 Lincoln Street
            Eugene, OR 97401

Please select your gift amount:

    __ $35 
    __ $50 
    __ $75 
    __ $100 
    __ $250
    __ $1000 (Trustees of the West)
    __ Other  $____________

With your gift we’ll send you our quarterly newsletter and other updates. Would you like to receive them by

    __ regular mail.
    __ e-mail.
    __ I do not want to receive them.


Please enter your contact and payment information:

Email:______________________________________

First Name: _________________________________

Last Name:__________________________________

Address:____________________________________

City: ______________ State: _______

Postal Code:  ___________________

Country:  _______________________

I would like to pay by:  ___ check (please enclose)

  ___ AMEX    ___ VISA    ___ Mastercard    ___ Discover

Card Number:

___________________________________________

Expiration Date:   Month ________  Year _______

Signature:    ___________________________________________

Your contribution is tax-deductible. Should you have any questions, please contact us at (541) 485-2471 or by e-mail to eugene@westernlaw.org.

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