Student.......................................................$5
Individual....................................................$10
Family........................................................$25
Donor.........................................................$50
Enclosed is my donation for funding displays in the Fossil & Prairie Center
CONTRIBUTOR $99 or less
ASSOCIATE $100-$249
SPONSOR $250-999
BENEFACTOR
All donations are tax deductible
Name_______________________________
Address_____________________________
City________________________________
State________________Zip_____________
Phone Number________________________
Yes, I would like to volunteer and help with fund raising events for the Fossil & Prairie Center
Return to:
Fossil & Prairie Center Foundation
1227 215th St.
Rockford, IA 50468
Telephone-641-756-3490