LaPorte County Park Foundation
Membership Application
Please enroll me as a member of the LaPorte County Park Foundation, Inc. at the following level:
|
$30.00
|
Annual Individual
|
|
|
$100.00
|
Annual Organization
|
|
|
$200.00
|
Life Individual
|
|
|
Gift in excess of $1,000
|
Individual or Corporate Benefactor
|
| Name | |
| Address | |
| City | State |
| Phone | Zip Code |
Print out this form after you have completed it!
Make Checks Payable to LaPorte County Park Foundation, Inc.
Mail to:
LaPorte County Parks Dept
0185 South Holmesville Road
LaPorte, IN 46350