AMERICAN FISHERIES SOCIETY
5410 Grosvenor Lane, Suite 110, Bethesda, MD 20814-2199 USA
HUTTON JUNIOR FISHERIES BIOLOGY PROGRAM
DONATION FORM
A donation of $5,000 provides full support for one Hutton Scholar; however, all donation
amounts are welcome. All donors will be listed in an issue of Fisheries magazine and on the
AFS website. Major donors will also be recognized at the AFS Annual Meeting. At the end of
the summer, an update report on the Hutton Program will be published in Fisheries.
Please send your completed form by fax to 301-897-8096 (Attention: Kathryn Winkler) or by
mail to the address above. If you have any questions, please contact Kathryn Winkler at (301)
897-8616 ext. 213 or kwinkler@fisheries.org.
Please print your contact information below:
Name: _______________________________________________________________________________
Title: ________________________________________________________________________________
Organization: _________________________________________________________________________
Address: _____________________________________________________________________________
City: _______________________________________ State/Province: ____________________________
Postal Code: _________________________ Country: _________________________________________
Telephone Number: (_______) ___________________________________________________________
Email Address: ________________________________________________________________________
Amount you wish to donate: $_______________
Options:
Please allocate my donation to the
 2012 Hutton Program
 2013 Hutton Program
 Robert F. Hutton Endowment Fund
Please list my donation as
 Anonymous
 In honor of ________________________________________________________________________
 In memory of ______________________________________________________________________
Make checks payable to: AMERICAN FISHERIES SOCIETY in U.S. currency drawn on an U.S. bank
or pay by VISA or MasterCard.
 Check #_________
 P.O. Number ___________________________________ (Add $10.00 if P.O. is required)
 Credit Card Number ____________________________________________ Expiration date _______
Name on card ________________________________ Signature_____________________________