LaGrange
County Lakes Council
To
promote, protect and preserve the quality of the lakes and watersheds of
LaGrange County
|
Yes, I want to Join: |
|
| Name | ........................................................................................................................ |
| Mailing address | ........................................................................................................................ |
| City, State, Zip | ........................................................................................................................ |
| Lake of residence | ........................................................................................................................ |
| E-mail address | ........................................................@............................................................ |
| Telephone | ........................................................................................................................ |
| Your Website URL | ......................................................................................................................... |
| Annual Dues | $_________ | ||
| Additional donation | $_________ | ||
| Scholarship Fund donation | $_________ | ||
| Total enclosed | $_________ | ||
| Individual/Family | $25.00 | (Additional donation $____________) | |
| Lake Association | $25.00 | ||
| Business Sponsor | $50.00 | ($50 is the minimum contribution for Business Sponsors.) | |
| Suggested Business Sponsor contributions: | |||
|
$100.00 |
(Up to 50 employees) | ||
|
$200.00 |
(Up to 100 employees) | ||
|
$300.00 |
(Over 100 employees) | ||
|
All dues contributions are tax-deductible. LCLC is a 501 (c)(3) not-for-profit corporation. |
|||
Please mail this form with your check to:
LaGrange County Lakes Council
P.O. Box 86
LaGrange, IN 46761
Reviewed June 2008