To the Directors of the Mahone Islands Conservation Association
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.
Signature ________________________________________ Date _______________________
Printed Name _____________________________________
Full Mailing Address ___________________________________________________
Telephone No. ___________________________ Email_____________________________
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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