The Global Water & Biology,
Conservation Research Institute
Membership &
Donation Form
or Mail to: The
Global Water & Biology, Conservation
Research Institute
Federal Tax ID # 26-0603203
Attn: Jack Spiegelberg
Credit
Card: (Visa & MasterCard)
The
Global Water & Biology, Conservation
Research Institute
Call: 858-217-5465 or Fax:
858-278-0589
Thank you for making a
donation to The
Global Water & Biology, Conservation
Research Institute !
We appreciate your support of The
Global Water & Biology, Conservation
Research Institute 's
many programs to enhance disaster relief, small town library outreach
programs, research, education and practice in science.
There are three options for submitting your donation:
858-278-0589 (2) Print and mail this form with credit card information or check made
out to " Global
Water & Biology, Conservation Research Institute "
with "Tax Deductible Contribution" in the memo line; or Outreach Program
Name
(3) Credit Card. fill out and Fax to Fax:
858-278-0589, IVID Communications -
" Global
Water & Biology, Conservation Research Institute "
with "Tax Deductible Contribution" in the memo line; or
(4) Coming Soon, send your donation using your cell phone (www.obopay.com
Individual &
Family
Membership
Individual
Membership
........................
$10 - $249
$250 - $499
$500 - $999 O ther______
Student
Membership
K THRU 12
.......
$10 - $249
$250 - $499
$500 - $999 O ther______
Family
Membership ............................... $10 - $249
$250 - $499
$500 - $999 O ther______
Support
Outreach Programs
...................................................... $10 - $249
$250 - $499
$500 - $999
O ther______
Recognition Levels
Annual Giving Recognition The patients, families
and staff of Global Water & Biology, Conservation
Research Institute are grateful to those that
annually participate in providing research, disaster
relief, conservation and community outreach through
their philanthropic support of our programs. We at
the Global Water & Biology, Conservation Research
Institute recognize annual giving as follows:
Opening per
Program
$25 -
$249
Friend
Unlimited
$250 -
$499
Builder's Club
Unlimited
$500 -
$999
Cornerstone
Club
Unlimited
$1,000 -
$2,499
Healing Circle
Unlimited
$2,500 -
$4,999
President's
Circle
Unlimited
$5,000 -
$9,999
Chairman's
Circle
25
$10,000 -
$24,999
Founder's
Circle
20
$25,000 -
$49,999
Pillar Society
15
$50,000 -
$99,999
Signature
Society
10
$100,000
-
$249,999
Caduceus
Society
5
$250,000
-
1
Corporate
Membership
$1,000 for companies with under
10 employees
$2,500 for companies with under
11-50 employees
$10,000 for companies with under
51-100 employees
$15,000 for companies with
101-200 employees
$25,000 for companies with over
200 employees
Corporate
Support
Outreach Programs
Support
Small Towns & Rural Libraries /
Reading Programs ...
$5,000
- $9,999
$10,000
- $24,999
$25,000 - $49,999
$50,000
- $99,999
$100,000+
Science
& Math Outreach Programs
.......................................... $5,000
- $9,999
$10,000
- $24,999
$25,000 - $49,999
$50,000
- $99,999
$100,000+
Sports
& School Outreach Programs
$5,000
- $9,999
$10,000
- $24,999
$25,000 - $49,999
$50,000
- $99,999
$100,000+
Parks
for Special Needs Outreach Programs
$5,000
- $9,999
$10,000
- $24,999
$25,000 - $49,999
$50,000
- $99,999
$100,000+
Pool,
Water Safety ,
Conservation & Surfing Outreach
$5,000
- $9,999
$10,000
- $24,999
$25,000 - $49,999
$50,000
- $99,999
$100,000+
Conservation
Programs
..............................................................
$5,000
- $9,999
$10,000
- $24,999
$25,000 - $49,999
$50,000
- $99,999
$100,000+
US
Farms
$5,000
- $9,999
$10,000
- $24,999
$25,000 - $49,999
$50,000
- $99,999
$100,000+
Drug
Donation & Research Development Programs
.............. $5,000
- $9,999
$10,000
- $24,999
$25,000 - $49,999
$50,000
- $99,999
$100,000+
Disaster
Relief Bottled Water ...................................................... $5,000
- $9,999
$10,000
- $24,999
$25,000 - $49,999
$50,000
- $99,999
$100,000+
Disaster
Relief Programs for Special Needs & Disabilities
$5,000
- $9,999
$10,000
- $24,999
$25,000 - $49,999
$50,000
- $99,999
$100,000+
Disaster
Relief Sunscreen
........................................................... $5,000
- $9,999
$10,000
- $24,999
$25,000 - $49,999
$50,000
- $99,999
$100,000+
Disaster
Relief Wristbands .......................................................
$5,000
- $9,999
$10,000
- $24,999
$25,000 - $49,999
$50,000
- $99,999
$100,000+
Disaster
Relief Broadcasting & Podcasting .............................. $5,000
- $9,999
$10,000
- $24,999
$25,000 - $49,999
$50,000
- $99,999
$100,000+
Disaster
Relief
Programs for
Children ...................................... $5,000
- $9,999
$10,000
- $24,999
$25,000 - $49,999
$50,000
- $99,999
$100,000+
Upon receiving your donation, Global
Water will mail you a confirmation of your contribution, which may be
used for tax filing purposes.
Date:
_______________________
Name:
________________________________________________
Address:
_________________________________________________________
_________________________________________________________
Donation Amount:
_________________
Gift For:
Date:
_______________________ Birthday
________ Holiday _________ Other
______________________
Name:
________________________________________________
Address:
_________________________________________________________
_________________________________________________________
Donation Amount: _________________
If paying by credit card, please also
complete the following information:
Card Type:
Visa
MasterCard
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Card Number:
_____________________________________ Exp. Date: ______
Name on Card:
__________________________________________
Signature:
______________________________________________
Please use only one method for
submitting your donation (fax, mail, or online). If you have any
questions, please contact the
Global Water & Biology, Conservation
Research Institute 's
office at
858-278-0589 .
