CORPORATE TREE ORDER FORM

 No. of Trees ________Amount $________

 Name that will appear on the marker (Please print)_________________________________

 Your name (Please print)________________________________________

 Title________________________________________________________

 Name of Company_____________________________________________

 Email_______________________________________________________

 Address

_________________________________________________________

 __________________________________________Zip Code________

Tel______________________________Fax____________________ 

 TOTAL                                           $_________________

TYPE OF PAYMENT    

1. By check.  Please make check payable to Asian Leaders Association mail to Asian Leaders Association c/o Ana Cheng, 9200 Bayard Pl, Fairfax, Virginia 22032

 2. By Bank transfer. Send payment to Navy Federal Credit Union, Vienna, Virginia

ABA# 2560-7497-4      Account # 1063918 302 

 3. By credit card 

( ) American Express   ( ) Visa     ( ) Mastercard 

Number___________________________________

Cardholder name___________________________

Expiration date_______________  Amount:  US $____________  

Signature______________________________

FAX TO 1 267 390 5193

 COST

20 Trees - $595

1. Large marker at the entrance of the forest
2. Photograph of the site
3. Framed Certificate of Appreciation from the Mayor of the town
4. Write-up in 1 website
5. Featured article in 1 newsletter
6. Interview on the Asian Leaders internet radio program

50 Trees - $1,500

1. Large marker at the entrance of the forest
2. Framed Certificate of Appreciation from the Mayor of the town
3. Photograph of the site
4. Press release to our database 200 press contacts
5. Write-up in 2 websites
6. Featured article in 2 newsletters
7. Interview on the Asian Leaders internet radio program

 100 Trees - $2500

1. Large marker at the entrance of the forest
2. Framed Certificate of Appreciation from the Mayor of the town
3. Photograph of the site
4. Press release to our database of over 400 press contacts
5. Write-up in 3 websites
6. Featured article in 3 newsletters
7. Interview on the Asian Leaders internet radio program
8. Philippine TV coverage

 200 Trees - $4950

1. Large marker at the entrance of the forest
2. Framed Certificate of Appreciation from the Mayor of the town
3. Photograph of the site
4. Press release to our database of over 400 press contacts
5. Write-up in 6 websites
6. Featured article in 6 newsletters
7. Interview on the Asian Leaders internet radio program
8. Philippine TV coverage

 NOTE: We are paying someone in the locality to take care of the trees until they can be left on their own.

 If you prefer, you can send this order form

1. By fax to 1 267 390 5193

1. By postal mail to:

Asian Leaders Association c/o Ana Cheng

9200 Bayard Pl, Fairfax, Virginia 22032

2. Pay online by PayPal.

You do not need to open a PayPal account to donate money to this fund. All you need is a credit card number. Just click on this button

 

Contact Information

Telephone

1 512 684 0889

Fax

1 267 390 5193

Postal address

9200 Bayard Pl, Suite 102, Fairfax, VA 22032 USA

Electronic mail

Please click here to send Ana Cheng an email

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