Name ____________________________________________________Address __________________________________________________
City ______________________ State ______ Zip _________________
Phone ______________________ Email ____________________________
Friend
of Merry Lea - Membership Contribution Form
Name ____________________________________________________
Address __________________________________________________
City ______________________ State ______ Zip _________________
Phone ______________________ Email ____________________________
Your support as you choose
to be a "Friend of Merry Lea" is significant as your contribution assists
with keeping programming
affordable. Enclosed is my Friend of Merry
Lea contibution. Make checks payable to Merry Lea/Goshen College.
Steward ($25),
Earthkeeper
($50),
Benefactor ($100),
Visionary ($300),
Patron ($500),
Other ________
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Send your check along with this
membership form to:
Merry Lea Environmental Learning Goshen College
P.O. Box 263
Wolflake,
IN 46796.
All contributions are
tax deductible and they qualify for credit as a contribution to Hoosier
Colleges and Univiersities on your Indiana state income tax.
A receipt
will be sent to you for your tax purposes.