MICA: Mahone Islands Conservation Association

To the Directors of the Mahone Islands Conservation Association

I, _________________________________________________________,

pledge $ __________________

towards the purchase of Sacrifice Island

This pledge is made with the understanding that it is a statement of intent and is not a legally binding contract on myself, my heirs or assigns.

My name will be kept anonymous and will not be publicized or shared with other agencies.

Yours sincerely,

Signature ________________________________________ Date _______________________

Printed Name _____________________________________

Full Mailing Address ___________________________________________________

___________________________________________________________________

Telephone No. ___________________________ Email_____________________________

Tax receipts will be issued for honoured pledges.
This form will print on one page.
Please send your completed form to:
MICA, P.O Box 427, Mahone Bay, Nova Scotia B0J 2E0 Canada

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