Secure Online Donation and Membership Form Step 1 of 4 Make a Donation Your support is vital to continue our work protecting wildlife and wilderness habitat. I would like to make a One Time Recurring Monthly tax-deductible donation of: $10 $25 $50 $100 Other Amount $ Please bill my credit card each month on the 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th 13th 14th 15th 16th 17th 18th 19th 20th 21st 22nd 23rd 24th 25th 26th 27th 28th day, for 1 Year 2 Years 3 Years 4 Years 5 Years years. Membership Membership is $10 per year. The membership will be issued in the name of the payee unless otherwise stated. Memberships make a nice gift! Number of Memberships: Quantity 1 - $10 2 - $20 3 - $30 4 - $40 5 - $50 This is a membership renewal. Member names (one per line): Contact Information Valhalla Wilderness Society will use your mailing address to send you your official donation receipt, which may be used for tax purposes. An electronic copy of the transaction receipt will be emailed to the address you provide. First Name: Last Name: Address: City: Province / State: -- Provinces -- AB - Alberta BC - British Columbia MB - Manitoba NB - New Brunswick NF - Newfoundland NS - Nova Scotia NT - Northwest Territories NU - Nunavut ON - Ontario PE - Prince Edward Island PQ - Quebec SK - Saskatchewan YT - Yukon -- States -- AK - Alaska AL - Alabama AR - Arkansas AS - American Samoa AZ - Arizona CA - California CO - Colorado CT - Connecticut DC - District of Columbia DE - Delaware FL - Florida FM - Micronesia GA - Georgia GU - Guam HI - Hawaii IA - Iowa ID - Idaho IL - Illinois IN - Indiana KS - Kansas KY - Kentucky LA - Louisiana MA - Massachusetts MD - Maryland ME - Maine MH - Marshall Islands MI - Michigan MN - Minnesota MO - Missouri MP - Mariana Islands MS - Mississippi MT - Montana NC - North Carolina ND - North Dakota NE - Nebraska NH - New Hampshire NJ - New Jersey NM - New Mexico NV - Nevada NY - New York OH - Ohio OK - Oklahoma OR - Oregon PA - Pennsylvania PR - Puerto Rico PW - Palau RI - Rhode Island SC - South Carolina SD - South Dakota TN - Tennessee TX - Texas UT - Utah VA - Virginia VI - Virgin Islands VT - Vermont WA - Washington WI - Wisconsin WV - West Virginia WY - Wyoming Postal Code / Zip: Country: Canada USA Australia Austria Denmark France Germany Ireland Italy Sweden Switzerland United Kingdom (GB) United Kingdom (UK) Email: I give VWS permission to contact me by email with updates twice per year. (Valhalla Wilderness Society does not disclose the personal information of members or donors) Please Note: All prices listed above are in Canadian dollars.