Support Children & Wildlife Depend on You! Thank you for investing in children and wildlife! Your support fosters healthy connections between children and the natural world through life-changing educational experiences. In addition, your contribution cares for our wildlife ambassadors, sustains our long-term box turtle project, and maintains our WildNet hotline. Thank you for promoting an appreciation for our environment and helping to conserve native wildlife and protect our ecosystems! Piedmont Wildlife Center is a registered 501 c3 nonprofit and 100% of your gift is tax deductible. Donation Amount $1,000 $500 $250 $125 $50 $25 Check this box to repeat this gift every month. You can cancel it at anytime. Check this box to repeat this gift every year. You can cancel it at anytime. Leave this checked to subscribe to our monthly e-newsletter! You can unsubscribe at any time. I would like to remain anonymous. My employer will match my gift. Company name: Donation Designation I want my donation to be designated toward: Wherever it is needed most Afterschool scholarships Camp scholarships Box turtle study Wildlife ambassador care WildNet hotline Billing Information First Name: Last Name: Address: City: State: Country: Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua And Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia, Plurinational State Of Bonaire, Sint Eustatius And Saba Bosnia And Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, The Democratic Republic Of The Cook Islands Costa Rica Côte D’ivoire Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island And Mcdonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic Of Iraq Ireland Isle Of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People’s Republic Of Korea, Republic Of Kuwait Kyrgyzstan Lao People’s Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia, The Former Yugoslav Republic Of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States Of Moldova, Republic Of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State Of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Réunion Romania Russian Federation Rwanda Saint Barthélemy Saint Helena, Ascension And Tristan Da Cunha Saint Kitts And Nevis Saint Lucia Saint Martin (French Part) Saint Pierre And Miquelon Saint Vincent And The Grenadines Samoa San Marino Sao Tome And Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch Part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia And The South Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard And Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province Of China Tajikistan Tanzania, United Republic Of Thailand Timor-Leste Togo Tokelau Tonga Trinidad And Tobago Tunisia Turkey Turkmenistan Turks And Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela, Bolivarian Republic Of Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis And Futuna Western Sahara Yemen Zambia Zimbabwe Zip: Email: Phone: Credit Card Card Number: Expiration Date: Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 Donor Information (if different from billing) Donor Names: Address 1: Address 2: City: State: Country: Zip: Dedication/Tribute I want to make my donation (optional): in honor of in memory of dedicated to If you would like us to send an acknowledgment to the name above, please provide their contact information. Giving Option (if paying via credit card) Donate 100% - I will add the 3.5% credit card transaction fee so that 100% of my donation goes to Piedmont Wildlife Center. Donate 96.5% - I understand that 3.5% will be deducted from my donation to cover my credit card transaction fee.