Thank you for supporting the Bird-a-thon! You can learn more about our Bird-a-thon here. You can also join us for one of our International Migratory Bird Day Walks.

This pledge form is simply a pledge to support a team or make a general donation to our Bird-a-thon. If you are sponsoring a specific team, the team lead will follow up with you to collect your donation. If you are making a general donation to the Bird-a-thon, our Bird-a-thon coordinator will follow back up with you.

Thank you for your support as we work to protect wildlife and habitats here in Loudoun!

Name:
Email:
Address:
City:
State:
Zip:
Telephone:
Note: All of the above fields are required. We do not share email or address information with any organizations. This is for LWC purposes only so we can contact you as needed.

Select Team and Pledge Amount Note: Teams could identify anywhere from 30-100 species
Select a Team to Sponsor or Make a General Bird-a-thon Donation The Peregrine Falcons: A. Butterfield, C. Butterfield, R. Butterfield, B. Dzema, C. Dzema, M. Dzema Empty Nesters: Robert, Cathey Daugherty, Dori Rhodes, Joanne Bradbury, & Pam McGroarty The Grumpy Old Men: Phil Daley and Paul Miller Raven Loonatics: Donna Quinn, Larry Meade, Gerco Hoogeweg, Bruce Hill The Ligi Nestlings: Spring, McKenzie and Addison Ligi Shrike Force:Laura McGranaghan, Gerry Hawkins, Mary Ann Good, and Joe Coleman General Bird-a-thon Donation
Fixed Donation:	Per Species Pledge:
$20 Yes No	$0.25 per bird species Yes No
$50 Yes No	$0.50 per bird species Yes No
$75 Yes No	$0.75 per bird species Yes No
$100 Yes No	$1.00 per bird species Yes No
$250 Yes No	$1.25 per bird species Yes No
$500 Yes No	$1.50 per bird species Yes No
$1000 Yes No	$2.00 per bird species Yes No
Other	Other

Thank You Gift
Anyone who raises or contributes at least $50 will receive an individual membership for Loudoun Wildlife Conservancy for 2011 and their choice of either a Loudoun Wildlife Conservancy or IMBD tee-shirt.  If they are already a current member, then their membership will be extended through December 2012. 

Please identify this picture (it helps us keep out spammers):

Click to identify Bluebird Gray Tree Frog Silvery Checkerspot Butterfly Yellow-Billed Cuckoo Bluebird Nestbox With Eggs Dogwood Tree