_____ Enroll me as a member and protect Buford Park & Mt. Pisgah's natural riches. _____ $500 Benefactor _____ $100 Contribitor _____ $30 Individual _____ $350 Patron _____ $50 Supporter _____ $20 Living lightly _____ $250 Donor _____ $40 Family Mountain Sponsor! _____ I'm already a member and am renewing my membership or making an additional contribution. _____ I don't wish to be a member now, but enclosed is a contribution of $_____. _____ Please don't acknowledge my support in your newsletter. _____ Please send a donation receipt. Name_____________________________________ Organization (if any)__________________________ Street____________________________________________________ City______________________________State____Zip_____________Home Phone_________________ Work Phone___________________ Email__________________
Send this form and check payable to: "Friends of Buford Park & Mt. Pisgah," P.O. Box 5266, Eugene, OR 97405
Thank you for your support!