Donate by mail (Bhopal campaigns)

Pesticide Action Network North America collects donations for two different Bhopal projects: Bhopal Medical Appeal supports the Margaret Mead award-winning Sambhavna Clinic, which provides medical care for thousands of people still suffering from the disaster, and the International Campaign for Justice in Bhopal joins activists around the world in demanding corporate and government accountability for this and future criminal acts.

100% of your contribution will go directly to the organization(s) you choose to support.

Print this form, complete and mail to: Pesticide Action Network North America, 49 Powell St., Suite 500, San Francisco, CA 94102, USA.

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  • Items with an asterisk (*) are required.

Your donation

International Campaign for Justice in Bhopal  Amount (US$)

Support the umbrella organization of groups campaigning
for justice for the survivors of Bhopal.
  
Once
Monthly
Quarterly
Annually

Bhopal Medical Appeal  Amount (US$)

Support the Margaret Mead award-winning Sambhavna Clinic,
which provides medical care for the survivors of Bhopal.

  

Once
Monthly
Quarterly
Annually

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 About you

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Business or organization

  

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 Payment

Makes checks payable to: Pesticide Action Network North America.

Complete below for Visa, MasterCard or Discover:

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Example: 1111 2222 3333 4444

* Expiration date

 
Example: 10/99

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Thank you for your donation!