Membership Form

Join the Orangutan Conservancy Today

Print this form and mail it to OC at:

The Orangutan Conservancy –

P.O. Box 513, 5001 Wilshire Blvd. #112, Los Angeles, California 90036 USA.

____Yes! I want to become a part of the Orangutan Conservancy family and also make a donation
to help OC continue their work to protect orangutans and their habitat.
Enclosed is my tax-deductible gift of:

___$35 Friend ___$50 Supporter
___$100 Contributor ___$250 Steward
___$500 Sustaining ___$1,000 Patron
___$2,500 Partner ___$_____ Other
____I want to do more. I would like
to pledge $_______ per month for the next 12 months. Enclosed please find my first
month’s gift.
____Virtually Adopt an Orangutan ___$120
Choose one: ___Putri ___Pur ___Uci___Darwin___Chelsea___Otoy (see Virtual Adoption Page)
____Gift Card — GIFT FROM THE HEART Amount: $________
Name of Recipient:
Address of Recipient:
Membership Application:
Name:
Address:
Phone:
Fax:
Email:
Signature:
Date:

Members will receive our monthly E-Bulletin via email. As we believe in the conservation of resources such as paper and ink, we want to keep mailings to a minimum.

We encourage our members to share their e-mail addresses with us so that we may send updates electronically, and we hope you will visit our website regularly for current news about orangutans. The Orangutan Conservancy will not distribute your email address to any other organization or individual. Your donation is important to the conservation of orangutans — we strive to keep administrative costs to a bare minimum, so that your donations get into the field to protect orangutans and their habitat.

The Orangutan Conservancy is a nonprofit organization, incorporated in the State of Colorado on May 14, 1998; members are non-voting. We operate as an independent organization with the stated purposes:

  • to help fund a variety of orangutan conservation projects on Borneo and Sumatra;
  • to provide emergency funding for critical protection needs such as fire-fighting: and,
  • to improve public awareness about the plight of the orangutans and their habitat.

Please return top portion and application with your contribution to The Orangutan Conservancy.

You may also donate on-line at “Donate Now” and then copy/paste this form and email to thom@orangutan.com.

For your records: Amount Paid $__________ Date:__________ Ck No.________ The Orangutan Conservancy Tax ID: 84-1461579