Membership/Donation Form

Canadian Tax Deductible Donation
to help campaigns for clean water, clean air, and clean paper

$25    $35    $50    $100    $250    Other

$25 - I want to be a Member of Reach for Unbleached! (Members support the goals of Reach for Unbleached! and are subject to the approval of the Board. Members receive our bimonthly newsletter MillWatch, published in the Watershed Sentinel magazine, and invitations to the AGM)

Name

Address

City

Province/State

Postal/ZIP Code

Country

Phone

Fax

Email Address

Do not trade my name to other environmental or social action groups. (We never give information to junk mailers.)

I want to volunteer: contact me at the address above.

"I have enclosed a cheque, made out to Reach for Unbleached!" (We can accept VISA and Mastercard by phone at 250-935-6992)

Print out and mail this form to:

Reach for Unbleached!
PO Box 39
Whaletown, BC Canada V0P 1Z0