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