2/1/13

DONATION FORM


Lake Tarawera Pest Control
A Community Project to Control Pest Animals in the Lake Tarawera Settlement Area
Request for Donation
Charities Commission Registration number: CC35504
The project is an on-going campaign carried out by our team of resident volunteers. The aim of the project is to mount and monitor a dispensing rodent bait station on every property in the Lake Tarawera settlement area to control rodents and other exotic pest animals.
I wish to participate in the above project to improve the environment in our unique settlement area and would like to make a donation of …………. to support the volunteers with the cost of rodent bait and administration.

Name…………………………………………………………………………………………………………..
Tarawera property……………………………………………………………………………………….RD5 Rotorua 3076
Mailing address…………………………………………………………………………………………….
                        ………………………………………………………………………………………………
                        ………………………………………………………………………………………………
I enclose my cheque for $..........................    Date………………………………..
Signed             ………………………………………..

Please make cheques, crossed Not Transferable, also with or bearer crossed out.
Payable to: Lake Tarawera Pest Control
Mail to            266 Spencer Road Lake Tarawera RD5 Rotorua 3076
RECEIPT
Donation to the LAKE TARAWERA PEST CONTROL Registration No CC35504
Received from
                        …………………………………………………………………………………………….
Mailing address……………………………………………………………………………………………
                        ……………………………………………………………………………………………..
Amount           $.......................           Signed………………………………………………….

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