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