The Nature Institute - Donation Form

Please print out this form and send to:

The Nature Institute, 20 May Hill Road, Ghent, NY 12075
Or fax it to: 518-672-4270

Yes! I would like to become / renew my support as a Friend of The Nature Institute.

	greening shoots and leaves	$36 (equaling $3/month for a year)
	unfolding blossoms	$60 (equaling $5/month)
	ripening fruits	$120 (equaling $10/month)
	penetrating roots	$365 (equaling $1/day)
	generative seeds	$520 (equaling $10/week)
	your favorite plant	other: _____________

I would like to pay my gift in two installments four installments of $________ each.

I will pledge $___________ per year for _____ years to secure long-term support for the Institute.

As a Friend of The Nature Institute you will receive our newsletter In Context, which is published in May and November each year.

Name ___________________________________________________________________

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Check enclosed: payable to The Nature Institute
Charge my: Visa MC in the amount of US$ ________________________________

Card # __________________________________ Exp. Date ______________________

Signature ____________________________ Name on Card _______________________

Please list me/us as (if different from above): _________________________________

Thank you for your gift! All contributions are tax deductible.The Nature Institute is a recognized charitable organization. Tax ID# 14-1803390

If you have any questions please call 518-672-0116 or email info@natureinsitute.org