This form can be printed and used for submission of unrestricted or earmarked, tax-deductible contributions
to the Florida Entomological Society

---

               This donation is for:   student travel  to meetings                       $________
                                                    other (                                                 ) $ ________
                                                    unrestricted                                           $ ________
    Total enclosed  $_________

Please address the contribution to:

Thank you for your support.