Entomological Foundation

Here is my tax-deductibe cash gift or pledge of $ ____________________

Name/Organization   ______________________________________________________________________________
                                                              (As you wish it to appear in the Annual Report and on our Web Site)

Address: ______________________________________________________ City ___________________________ State____________  Zip _____________

E-Mail: _________________________________________________________

 

Name of person being recognized: ___________________________________

Special message: _________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________________

Send a note to the following person letting them know a gift was made in honor or in memory:

Name: _______________________________________________________________________

Address: _______________________________________________City __________________ State _________ Zip _________________

 

How did you hear about the Entomological Foundation?

___ Colleague/Friend   ____ Surfing the Web  ____  Advertisement in: _______________________     ___  Other___________________________________

Please make your check payable to the Entomological Foundation and mail to:

Entomological Foundation

4510 Regent Street

Madison, WI 53705
(608) 232-1410; EIN#52-1756169

 

Gifts to the Entomological Foundation are tax-deductible to the extent provided by Federal law

 

THANK YOU FOR YOUR SUPPORT