To the Directors of the Mahone Islands Conservation Association
pledge $ __________________
towards the purchase of Backmans Island and Covey Island
It is MICA's intention to purchase both islands however if this is not possible, the raised funds will be applied to whatever island is available.
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 unless you have my express permission hereby granted by my signature: (................................................)
Full Mailing Address ___________________________________________________
Printed Name _____________________________________
Telephone No. ____________________________________
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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