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Endowment Application

Please print and fill out the following form. Send completed form to:

Wood Lake Nature Center
6710 Lake Shore Drive
 
Richfield MN 55423

Application for Endowment Tree Leaves

Yes! I wish to donate $______.____ for Wood Lake’s Endowment Fund. This will entitle me to one engraved leaf (bronze, silver, or gold) or a rock. My gift/memorial is stated below (i.e.: In Loving memory of or In Honor of, etc.) Please print clearly.

In __________________________ of ________________________________________

From: _____________________________________________________________________________


Donor’s Name____________________________________________________

Address ____________________________________________________

City/State ____________________________________________________

Phone (day) _______________________

          (eve) _______________________

Organization of choice if Wood Lake Nature Center should cease to exist:

______________________________________________________________

 

Visa/Mastercard: # ___________________________________      Exp. ______________

 

Signature: ________________________