Name: _________________________________________________

Address: _______________________________________________

City, State, Zip:__________________________________________


Phone Number:__________________________________________


Yes, please keep me updated on the latest LRWP news and events.


My email address is: ________________________________

MEMBERSHIP:

____Whooping Crane   $10,000
                 
___Osprey   $5,00
0
____ Eagle     $1000

____ Merganser    $500
     
  ___ Harrier   $200
____ Peregrine    $100
   
____ Bluebird      $50

_____ Heron (basic membership)  $20
                          


Every dollar you give helps us help nature more!

TOTAL AMOUNT GIVEN: __________ Thank you so much!
  
Little River Wetlands Project is a non-profit organization and donations are tax
deductible to the full extent of the law.

Please make checks payable to:
LRWP
2403 Fairoak Drive
Fort Wayne, IN 46809