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Honorarium or Memorial Form
Print this form, fill in the
information and mail it, with your check, to:
Oxbow, Inc.
P.O. Box
4172
Lawrenceburg
,
IN
47025
Oxbow, Inc sincerely thanks you for your donation which will help preserve
and improve wildlife
habitat and protect a unique local wetland area.
My Gift is:
In memory of
_____________________________________________________
In honor of (person) ______________________________________________
(occasion) ______________________________________________
Oxbow, Inc. will acknowledge your gift by sending an appropriate note to
those you designate.
The amount of your gift will not be mentioned.
Please Notify: _____________________________________________________
Address:
_____________________________________________________
City _______________________________
State _________ Zip ____________
From ______________________________________________________________
Address ____________________________________________________________
City
________________________________
State
_________ Zip ____________
Phone: (
) _______________________ Amount of my gift:
$ _____________
Please make your check payable to Oxbow, Inc.
Thank You – Your gift is tax
deductible
Make a copy of this form for your records. As
prescribed by tax law, Oxbow, Inc. will formally acknowledge any donation
of $250 or more. |