FRIENDS OF THE PRIMATE CENTER LIBRARY
CONTRIBUTION FORM


Yes! I would like to help promote international communication in support of primate conservation, research and education. Enclosed is my check for $_________. I am interested in contributing at the level I have noted below:

Check Level Benefits 
[    ]
 Founder $1000+ Quick Guide to Library Services, Centerline, Annual Update, Lifetime free AV loans, 6 Primates in Art and Illustration posters 
[    ]
 Benefactor $750 Quick Guide, Centerline, Annual Update, one year free AV loans, 5 Art posters 
[    ]
 Patron $500 Quick Guide, Centerline, Annual Update, 5 free AV loans, 4 Art posters 
[    ]
 Sponsor $250 Quick Guide, Centerline, Annual Update, 3 Art posters 
[    ]
 Sustainer $100 Quick Guide, Centerline, Annual Update, 2 Art posters 
[    ]
 Supporter $30 Quick Guide, Annual Update, Art poster


Name:
Affiliation:
Address:
City:
State: Postal code:
Country:
Phone:
E-mail address:


Please make checks payable to Friends of the Primate Center Library and mail to:

Friends of the Primate Center Library
Dr. Gabriele Lubach, Coordinator
Wisconsin Primate Research Center
1220 Capitol Court
Madison, WI 53715-1299 USA

Contributions are tax deductible. You will receive a letter acknowledging your contribution and benefits. Thank you for your support.