Mahone Islands Conservation Association
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To the Directors of the Mahone Islands Conservation Association

I, _________________________________________________________,

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: (................................................)

Yours sincerely,

Signature ________________________________________

Full Mailing Address ___________________________________________________


Printed Name _____________________________________

Telephone No. ____________________________________

Date ________________________________

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


Annual Membership dues, which are due in April, may now be paid on line -
click here for new Membership or Renewal.

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Updated February 20, 2019
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