() Yes I want to become a monthly donor and help the Canadian Wildlife Federation protect our wildlife through efficient monthly giving.

I would like to give:
(  ) $5    (  ) $10    (  ) $20   or    $________ per month,
on the  (  ) first day of each month  or  (  ) 15th day of each month.

Please debit my bank account. My cheque marked VOID is enclosed.

I understand payments will continue automatically each month until I notify the Canadian Wildlife Federation of any change.

* = required information

*Name: _______________________________________________________
*Address: _____________________________________________________
*City, Province, Postal Code: ______________________________________
  Constituent number (if available): _________________________________

E-mail address: ________________________________________________

(  ) Yes, I would like to receive the following free e-mails from CWF:

(  ) Wildlife Update: Your best source for wildlife news, gardening tips and amazing facts.
(  ) Ways to get involved, program updates and special online feature alerts.
(  ) Special opportunities and offers from our partners.

Please print and complete this form and mail it to the Canadian Wildlife Federation:
Canadian Wildlife Federation
350 Michael Cowpland Drive
Kanata, ON
K2M 2W1

Charitable Registration Number 10686 8755 RR0001

Thank you for your donation!