South Orkney 2011 Donation Printable Form

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South Orkney 2011 DXPEDITION FUND
Contribute by Mail

I want to do what I can to support the 2011 South Orkney Dxpedition:

Call: ______________________________

Name: ____________________________

Address: __________________________

City, State, Zip: ____________________

Country: __________________________

Email: ____________________________

____________________________________Donation amount

If you are sending a check, please make it payable to "South Orkney DXpedition"

Please mail this form to:
Don Greenbaum, N1DG
P O Box 1397
Duxbury, MA 02331-1397

*Donations of $250 or higher can be made to NCDXF and obtain Tax Deductability (consult your advisor). Make the check payable to NCDXF and on the check memo line write: "directed contribution-South Orkney 2011 DXpedition"

Mail the NCDXF check to:
Bruce Butler, W6OSP
4220 Chardonnay Court
Napa, CA 94558.