Support Conscious Environmental Action --- The Green Yoga Association

Your generous support will help us to integrate Green with Yoga. Together we will:

* eliminate plastic water bottles from Yoga events and studios;

* keep PVC and harmful chemicals out of your Yoga props;

* educate and support Yoga professionals;

* plant fruit trees to offset carbon and demonstrate Yoga/Permaculture.

Thank You!

Contribution Amount *	$ 30.00 Basic $ 60.00 Professional $ 250.00 Business Basic $ 500.00 Business Plus $ 1,000.00 Longevity Other Amount
Other Amount	$
	I will send payment by check
	I want to make a one-time contribution. I want to contribute this amount every for installments Your recurring contribution will be processed automatically for the number of installments you specify. You can leave the number of installments blank if you want to make an open-ended commitment. In either case, you can choose to cancel at any time. You will receive an email receipt for each recurring contribution. The receipts will include a link you can use if you decide to modify or cancel your future contributions.
Email Address *	I am contributing on behalf of an organization.

Organization Details

Organization Name

Primary Phone
Primary Email
Street Address	Street number, street name, apartment/unit/suite - OR P.O. box
Addt'l Address 1	Supplemental address info, e.g. c/o, department name, building name, etc.
Addt'l Address 2
City
Zip / Postal Code	- Enter optional 'add-on' code after the dash ('plus 4' code for U.S. addresses).
Country
State / Province

To help you step lightly on the planet

Choose a "thank you" gift designed to help you minimize your impact on the planet.

		Utensils by To-Go Ware Reduce your forkprint with a bamboo utensil set from To-Go Ware. The fork, spoon, knife and chopsticks will feel good in your hands while nourishing your desire for a sustainable planet. (Contribute at least $ 30.00 to be eligible for this gift.)
		34 oz Stainless Steel Water Bottle (Contribute at least $ 20.00 to be eligible for this gift.)
		20 oz Stainless Steel Water Bottle (Contribute at least $ 15.00 to be eligible for this gift.)
		Nothing for me, thanks. I don't need a gift.

Contributor Information

First Name *
Last Name *
Street Address
Supplemental Address 1
Country *
City
State
Postal Code
Telephone
Twitter
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Are you a yoga studio?	Yes No ( unselect )
Are you a yoga teacher?	Yes No ( unselect )
Would you like to be listed in our online directory?	Yes No ( unselect )

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© 2009 Green Yoga Association | 2340 Powell St. #141, Emeryville CA 94608 | 415-655-1081
The Green Yoga Association is registered with the Internal Revenue Service as a 501(c)(3) entity. Contributions are tax-deductible.