Please indicate the number and varieties you prefer. Purple ~ Number of packages with 60 seeds each _____. Yellow ~ Number of packages with 60 seeds each _____. White ~ Number of packages with 60 seeds each _____. Pinto ~ Number of packages with 60 seeds each _____.Please return this signed agreement and donations (online or by mail) to:Suggested donation is one GMO field testing kit (@ $6.50) per package of seed we welcome donations over a period of months throughout the growing season. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Printed name of the participating sanctuary grower Date Signature: Amount of donation: $ Monthly?: Yes / No _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Address of the participant City and Zip Code Country _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Phone(s) Email(s) Make checks payable to "Grass Roots Events, Inc." a tax exempt corporation, or by credit card: / / / ( / ) Circle one: Visa Master-Card Exp ( Mo / Yr )
Schools for Chiapas / Escuelas para Chiapas
Grass Roots Events, Inc,
1631 Dale St.,
San Diego, CA 92102
USA