Chapman Lakes Conservation Association, Inc.--Official Web Site

Click This Link to GO BACK  to Data Page Links

Print and Mail This Form

Please consider this tax deduction idea...
Chapman Lakes Foundation--5 Year Pledge Plan
[Please check amount pledged, complete the name and address lines.]


      ___$250 Annually
      ___$500 Annually
      ___$750 Annually
      ___$1000 Annually
      ___Other Amount: $____________

Name: _________________________________________________________________

Address: _______________________________________________________________

______________________________________________________________________

City: _________________ ST: ___ZIP: ________     E-mail (optional) __________________________

My first tax-deductible contribution is enclosed. Thereafter, we will send our pledge in _______________.

Signature: _______________________________

Date: ________________

[Note: Please list your name and address carefully. IRS rules require us to keep an accurate record of contributions. You will receive a receipt by return mail.]

If you've already sent this year's contribution…
Thank you!


Working closely with Chapman Lakes Conservation Association, Inc., your tax-deductible contribution is dedicated for projects to maintain the quality of Chapman Lakes, watersheds, and wetlands for future generations. Chapman Lakes Foundation, Inc. is a qualified 501(c)(3) charitable, non-profit  corporation.

PLEASE MAIL THIS PAGE WITH  YOUR CONTRIBUTION CHECK PAYABLE TO:
Chapman Lakes Foundation, Inc.
P. O. Box 776
Warsaw, IN 46581-0776

Click This Link to GO BACK  to Data Page Links