If you wish to support the George B. Rabb IUCN/SSC Internship Endowment, please print out this form, provide the information requested, and mail it to the address listed below. Pledges can be paid in a single installment, or can be divided over a period of three years.

Name: _______________________________________________
(Institution or individual, as you wish it to appear on the contributing roster)

Contact Person: ________________________________________
(if this is an institution contribution):

Address: ______________________________________________
(full mailing address including postal code and country):

Pledge: _______________________________________________
(indicate currency if other than US dollars):

Payable in:

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_____I will wire transfer my pledge; please send me bank account information

Please make cheque payable to: IUCN US [indicate "GBR Internship" on the check] (IUCN US is a 501 (c)(3) charitable organization.)

Your generous gift will be acknowledged in Species, the SSC news magazine, and in updates provided to all George B. Rabb IUCN/SSC Internship Endowment donors.

_____ Tick here if you wish to remain anonymous

Please mail this form to: IUCN US George B. Rabb IUCN/SSC Internship Fund
1400 16th St., NW, 5th Floor
Washington, DC 20036, USA