Order Form
Date: ____/____/20____
 
 
 
YOUR INFORMATION SHIP TO (IF DIFFERENT):
Name
 
 Name
Street Address
 
 Street Address
City, State/Prov   Zip/Postal   Country
 
 City, State/Prov   Zip/Postal   Country
Day Time Phone
 
 Email Address (optional)
 
 Day Time Phone
 Email Address (optional)

    Gallery     Image Caption  Size    Qty     Price Each     Total  
      
      
      
      
      

We accept the following forms of payment:
  • Personal, Business, Cashier checks
    made payable to "Wildlife Conservation Society"
  • US Postal Service or American Express money orders
    made payable to "Wildlife Conservation Society"
  • Major Credit Cards
Check enclosed for $_______.____ or please charge my credit card:

__ Visa  __ MasterCard  __ American Express  __ Discover/Novus

Account Number and Expiration Date:

__________________________________   ____/____

Signature: __________________________________________

 		SUBTOTAL  
Add 8.25% Sales Tax for shipments in New York  
TOTAL  

Mail/Fax completed form with payment to:

Wildlife Conservation Society
c/o Allison Goldberg
2300 Southern Boulevard
Bronx, NY 10460
Fax: (718) 364-7963

Or, you may place your order by telephone
by calling Allison Goldberg at (718) 741-1648.

Thank You for Your Order!
Your support will help the Wildlife Conservation Society to continue to save wildlife
and wild places around the globe. For more information: www.wcs.org