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
donation for:

$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