Clear Lake Township Land Conservancy, Inc.

Improving and Protecting Our Environment
for the Next Generation

The projects of the Clear Lake Township Land Conservancy are made possible by your support.  If you wish to contribute, please print out this page. Then fill in the information and mail the form along with your check made payable to the Clear Lake Township Land Conservancy, Inc. to:

Clear Lake Township Land Conservancy, Inc.
5950 Gecowets Drive - Clear Lake
Fremont, Indiana 46737


Enclosed is my tax-deductible contribution in the amount of $ __________________

Please apply it to   __ Land Acquisition   __ Education   __ Water Quality projects

Please send acknowledgement to _______________________________________

This gift is in  __ Honor  __ Memory of ___________________________________

______  I wish to contribute land or appreciated stock, or wish to receive more information. Please have the fundraising chairman call me.
 

Name __________________________  Phone ___________  Email ___________

Address __________________________________________________________

City _________________________  State _______________  Zip ____________

Phone ______________________

Please indicate how you prefer to have your name listed as a donor:

_________________________________________________________________

Thank you for your support of Clear Lake. The Clear Lake Township Land Conservancy, Inc. is a 501(c)(3) non-profit corporation.