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