LaPorte County Park Foundation
Membership Application
Please enroll me as a member of the LaPorte County Park Foundation, Inc. at the following level:
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$30 - $99
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Dogwood
|
|
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$100 - $249
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Tulip
|
|
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$250 - $499
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Hickory
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$500 - $999
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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