LaPorte County Park Foundation

Membership Application

Please enroll me as a member of the LaPorte County Park Foundation, Inc. at the following level:

$30 - $99
Dogwood
$100 - $249
Tulip
$250 - $499
Hickory
$500 - $999

Sycamore

$1000 - $4999

White Oak

$5,000 or more

Park Benefactor

Enclosed is my gift of
$_______________________

 

Name
Address
City State
Phone Zip Code

Print out this form after you have completed it!

Make Checks Payable to LaPorte County Park Foundation, Inc.
Mail to:
LaPorte County Parks Dept
0185 South Holmesville Road
LaPorte, IN 46350

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