Donation Form

 

Name: ........... ___________________________________________________________

Street address: ___________________________________________________________

City: ............. ____________________________ State: _____ Zip Code: ___________

E-mail address:____________________________________________________________

Your donation at any level is greatly appreciated.

Here are a few suggestions: ___ $25 ___$50 ___$100 ___other

 

This donation is in honor/memory (circle one) of:

________________________________________

 

Please make your check payable to: Friends of Sylvania and mail it, together with this form, to the above address.

We would like to recognize our supporters by publishing their names (first name, first letter of last name, hometown) in our publications. Please check here if you prefer to remain anonymous _____.

Do you wish to receive the FoS newsletter ____ by email or ____ by mail?

 

Thank you for your support.