Yes, I want to protect northern Michigan's water resources by
becoming a member of the Watershed Council!
(Instructions: Please print and complete this form and mail or fax to Tip of the Mitt Watershed Council.)
Please accept my tax-deductible gift of:
- $35 Subscriber
- $50 Supporter
- $100 Friend
- $300 Key Sponsor
- $500 Guardian
- $1000 Benefactor
- Other $__________
- Send me information about Planned Giving
- Send me information about Monthly Pledges
Name ________________________________________________________________
Primary Address ________________________________________________________
City_____________________________________State_______________Zip________
Phone___________________________
Email address:__________________________________________________________
Summer Address ________________________________________________________
City_____________________________________State_______________Zip________
Phone___________________________
Mail to my summer address from_________________ to _____________________
I live on the following water body _________________________________________
- Personal Check: (Make check payable to Tip of the Mitt Watershed Council)
- Credit Card: (circle one) Visa Mastercard Discover American Express
Account No: ________________________________________________________
Authorization No: (3 digit number on back of card): ________________________
Expiration Date: ____________________ Gift Amount: $_____________________
Name of Cardholder: __________________________________________________
Signature: __________________________________________________________
Please mail to:
Tip of the Mitt Watershed Council
426 Bay Street
Petoskey, MI 49770
Phone: 231.347.1181
Fax: 231.347.5928