MEMBERSHIP LEVELS Student   $10             Family  $40 Individual  $25           Cornerstone $100-$499 Organization or          Sponsor  $500-$900 Club $25                    Benefactor   $1000 + Enclosed is my contribution of: $_________ Name_______________________________ Address _____________________________ ____________________________________ City ________________________________ State_________ Zip____________________ Phone (          )________________________ e-mail_______________________________ Please make checks payable to: OAK HERITAGE CONSERVANCY Send to: Oak Heritage Conservancy P.O. Box 335 Hanover, IN 47243