The Friends of the Medicine Wheel is a Nonprofit 501(c)(3) organization under the IRS rules and regulations. We are currently registered with the State of Wyoming as a Non-profit Corporation.

Please make your checks payable to:

Name: ___________________________________________________________

Address: _________________________________________________________

City: _______________________________________State: ______Zip: ______

Phone: ________________________ E-Mail:____________________________

My tax deductible contribution is enclosed in the amount of:

( )  $500.00    ( )  $100.00    ( )  $50.00    ( )  $25.00    ( )  $______ Other

Thank you for your tax deductible contribution and your concern for preserving and protecting the Medicine Wheel.

Please print and mail this form with your contribution to: