Manatee Decal Collection Order Form

Name:________________________________________________________________________

Address:______________________________________________________________________

City:__________________________________________    State:________      Zip:________

Phone:___________________________        E-mail__________________________________

Amount enclosed:___________________________
                         (Check or money order only)

Decal Year
(Mark number to be sent of each.  One decal will be issued for each $5.00 donated.)

______92-93         ______93-94         ______94-95         ______95-96

______96-97         ______97-98         ______98-99         ______99-00

______00-01         ______01-02         ______02-03         ______03-04

______04-05         ______05-06         ______06-07         ______07-08  

______No decals requested (Donation only - select only if you do not want decals sent)

______I would like to receive additional manatee information along with my decal(s) or for           my donation.

Make checks payable to "Florida Fish and Wildlife Conservation Commission"
(Note: "Save the Manatee Trust Fund")

Mail order and check to:

Fish and Wildlife Conservation Commission
Imperiled Species Management
620 South Meridian Street, Mail Station 6A
Tallahassee, Florida  32399-1600

Any questions?  Call (850)922-4330

...........................................For Office Use Only...........................................

Amount of Donation Sent: ______________         Verified by:__________________
                                     (ISM staff only)

Check Number:______________________           Date Received:______________

Decal Number(s) sent:__________________________________________________

Manatee Decals