$25 one-time donation
$50 one-time donation
$100 one-time donation

Other amount

$10 per month (a marmot supporter)
$20 per month (a marmot afficionado)
$25 per month ( a marmot's Marmoteer)
$120 one-time annual adoption (a thoughtful gift)

Guarantee: You can cancel your pledge at any time.

This is a secure form. All information you submit is encrypted to ensure your privacy. If you would prefer you can print this form and mail or fax it to us. Thank You.

Shipping and Billing Information

Please enter YOUR name here
(exactly as it appears on your credit card)

  YOUR street mailing address:


City AND State or Province
 
Country AND Postal code:
 
Area code / telephone number:
  
Email address:

Credit card TYPE:

  

  

Card Number:

Card Expiration Date:
/ (MM/YY)

  Is this a gift?

Please enter the name of the recipient (s) here:


Mailing address where adoption materials should be sent
(if different from the one you entered above):


City AND State or Province
 
Country AND Postal code:
 

In order to gather greater support for the work you care about, we may exchange the names of our supporters with other, carefully screened, like-minded organizations.

If you don't wish your name exchanged, please check this box and with will respect your decision.

We are collecting your contact information so we can send you a charitable receipt for income tax purposes. We also use the information to send you special supporter benefits: updates on our programs and our newsletter, The Marmoteer.

If you do not wish to receive these supporter benefits, please tick this box and we will comply with your wishes.

If you experience problems submitting this form, please email the Marmot Recovery Foundation office:
marmot@islandnet.com