Please print out and mail this form with your donation to: Allies in the Rainforest / Rainforest Alliance 65 Bleecker Street New York, NY 10012, USA [Checks should be made payable to the Rainforest Alliance]

[  ]	Yes, I / we want to help save forests and wildlife by supporting the Rainforest Alliance's conservation partners working in tropical countries

Name: ____________________________________________________________ Address: _________________________________________________________ __________________________________________________________________ Phone (optional): ________________________________________________ Email address (optional): ________________________________________

Project(s) I / we want to support:
[  ]	Colombia's Cachalú Biological Reserve
[  ]	El Salvador's Bosque El Imposible Rainforest
[  ]	Nicaragua's Si-A-Paz International Park
[  ]	Nicaragua's Mombacho Volcano & Cloudforest
[  ]	Mexico's Maya Indians and songbirds
[  ]	Panama's Metropolitan Natural Park
[  ]	Catalyst Grants emergency fund for local grassroots groups
[  ]	I / we will let the Rainforest Alliance allocate my / our donation

Amount of donation: $_________________________________________ The certificate of acknowledgment should be made in the name of: ______________________________________________________________ Address of certificate recipient (if different from above): ______________________________________________________________ ______________________________________________________________

[  ]	I want to join the Rainforest Alliance and support its tropical conservation programs. An extra $25 is enclosed.

Donor Information

Please take a moment to answer the following questions.

1. How did you learn about the Allies in the Rainforest program? [ ] From the World Wide Web If so, which Web site? ______________________________________________ [ ] From an electronic discussion list for educators, community groups, etc. If so, which one(s)? ________________________________________________ [ ] From a notice in a newsletter or other publication If so, please specify publication ___________________________________ [ ] From a friend/colleague [ ] Other (please specify): _________________________________________ 2. Are you (please check one: [ ] A student -- If so, what is your age: _____ [ ] An educator -- If so, what grade/age are your students: _____ [ ] A member of a group or club If so, what is your group's main focus? [ ] Environmental [ ] Cultural [ ] Religious [ ] Other (please specify):_____________________________________ [ ] Other (please specify): _________________________________________ 3. Why did you choose the Allies project that you are supporting? ________________________________________________________________________ ________________________________________________________________________ 4. How did you raise the money? [Feel free to attach additional information describing your fundraising event and/or photos, or send us an email at canopy@ra.org.] ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ In order to stimulate interest in the program, we'd like to obtain your permission to use your name and the description of your fundraising activities on our Web site and/or in our press materials. Please sign below if you authorize us to acknowledge and publicize your terrific work! Signature: _____________________________________________________________

Recent Donors | Back to Allies in the Rainforest