Contribution

Name..............................................................................................

Address...........................................................................................

Telephone......................................Fax............................................

e-mail...............................................................................................

Academic Affiliation..........................................................................

Amount of Gift $............................

please check: Scholarship Fund................ or Endowment Fund..............

make check payable to the Canadian Society for Mesoamerican Studies

print form and mail with check to: S. Loten, 24 Springfield Rd, # 203, Ottawa, Ontario, K1M 1C9