Please print and complete this form and mail it to Nature Canada or call us at 1-800-267-4088 and we'll gladly speak with you and take your information in person.

Yes, I'll stand guard now and every month.

I authorize Nature Canada to withdraw the amount indicated below from my bank account or credit card on the first day of each month.

$20 $15 $10 Other ($ )
Name (please print):
Address:

If withdrawing from a chequing account, please attach a cheque marked "void" along with this completed form.
Yes, I’ve enclosed my Cheque

BY Credit Card:
VISA MasterCard
Card #:

Expiry date:

Signature:
You may cancel or change your donation at any time by writing to us or by calling toll-free, 1-800-267-4088. You will receive a receipt for your total donation at the end of the calendar year.

Mail to:
Nature Canada
75 Albert St., Suite 300
Ottawa, ON K1P 5E7

Charitable registration #11883-4704-RR0001

Thank you for becoming our newest Guardian of Nature!