Please printout, complete and mail this form with your check to: Clark Fork-Pend Oreille Conservancy PO Box 2123 Sandpoint, ID 83864
Enclosed is my check for a tax-deductible $25 □ $50 □ $100 □ Other ____________ □
Name: _____________________________________________________
Address: ___________________________________________________
City: __________________ State: _______________ ZIP: ____________
Telephone: _________________________________________________
Email Address: _____________________________________________
Note: _____________________________________________________
__________________________________________________________
__________________________________________________________
Thank you for your contribution,
Robb McCracken Clark Fork-Pend Oreille Conservancy
|