Park Foundation Membership Application

La Porte County Park Foundation Membership Application

Make Checks Payable to La Porte County Park Foundation, Inc.

Mail to: 0185 South Holmesville Road, La Porte, IN 46350.

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

Dogwood ($30-$99)

Tulip ($100-$249)

Hickory ($250-$499)

Sycamore ($500-$999)

Park Benefactor ($5,000 or more)

Name(Required)

First Last

Email(Required)

Phone(Required)

Address

Street Address City State / Province / Region ZIP / Postal Code