UNITY NUMBER: SOURCE OF FUNDS: (Please select below): ANNUAL CONTRIBUTION INFORMATION: I further confirm that in the interest of good conscience, I have made my annual donation of 25,000 annually except a donation of 5,000 made in 1995 which was made in appreciation of the leadership and dedication displayed by a group of dedicated National Geographic employees which resulted in the publication of three outstanding books and more than 25 books published by National Geographic Society Publications since 1945. If this is not satisfactory to you, I will withdraw my donation of 25,000, as I am well aware of the contribution and contributions made by so many individuals over the years and I want to express my thanks to the individuals, the National Geographic Society and by many organizations throughout the world for the contributions they have made to the cause of science as well as to the cause of environmental education.
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GARDINER GREENE HUBBARD SOCIETY
MEMBERSHIP APPLICATION FORM
IN RECOGNITION OF my strong belief in the work of National Geographic, I confirm that I have taken steps to make a bequest or other planned
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