Thursday, May 17, 2012

Photo images courtesy of PD Photo http://www.pdphoto.org

Climate Camp Payment Form

Once you have completed the form, please print and mail - along with your registration form - to:
World Wildlife Fund
Attn: Angela Nueslein
1250 24th Street, NW
Washington, DC 20037
United States

REGISTRATION FEE AMOUNT: $350 USD
REGISTRATION FEE AMOUNT FOR ATTENDANCE IN MONDAY SESSION ONLY: $85 USD

Name:
(exactly as it appears on the credit card)
Billing Address:
 
 
Telephone number:
(including country and city code)
Email address:
Type of credit card:
Credit card number:
Expiration date:
Security Code:
   
PLEASE NOTE: Your credit card information will not be submitted via the internet. Press the "PRINT" button below to print out and send the form to the address above. Your data will be cleared from the form when you leave the page.
 

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