BAN Support Form

The Basel Action Network depends on your support to end toxic colonialism. We are the only ones doing this vital work and we exist entirely from tax-deductible charitable grants and donations. If you believe in our efforts please give what you can.

$1000	Major Donor	___
$500	Patron	___
$250	Sponsor	___
$100	Contributor	___
$50	Supporter	___
$_______	Other	___

make checks or money orders payable to: "Basel Action Network"

Mail to:
Basel Action Network
206 First Ave. S., Suite 410
Seattle, WA 98104
USA

The Basel Action Network is a fully tax-deductible charitable organization under section 501(c)(3) of the U.S. Internal Revenue code.

Please note, this form is NOT for those who are interested specifically in our e-waste program, the e-Stewards Initiative. If you are a company seeking to become a part of the e-Stewards Initiative, please visit www.e-Stewards.org for instruction.