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.
