Professional Documents
Culture Documents
$500 Corporate Supporter (includes 2 seats for dinner and half-page ad in program book)
$430 is tax deductible
All levels will be recognized on the website, electronic media, press releases and at the event.
We will not use all of our seats, please donate _____ for use at the event.
Please make checks payable to Western Reserve Land Conservancy
AMEX
DISCOVER
MASTERCARD
VISA
(Circle One)
Credit Card # ______________________________________________ Expires ____________
Signature: ____________________________________________________________________
Please send invoice
Company Name (if applicable) ________________________________________________________________
Contact Name and Signature ___________________________________________________________________
Administrative Contact (if different from above) ___________________________________________
Address ______________________________________________________________________________________
City_________________________________________ State ________________ Zip Code ________________
Phone ____________________________ E-mail ___________________________________________________
Please list all attendees:
______________________________________
______________________________________
______________________________________
______________________________________
_____________________________________
_____________________________________
_____________________________________
_____________________________________
Please complete this form, and mail to Western Reserve Land Conservancy at:
3850 Chagrin River Road Moreland Hills, OH 44022-1131
For more information, please contact Amy Rogish at 440-528-4167, fax 440-528-4160
or e-mail at arogish@wrlandconservancy.org