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Donation
Amount
*
$1,000
-
Benefactor
$500
-
Patron
$250
-
Conservor
$100
-
Sustaining
$50
-
Steward
$35
-
Family
$20
-
Friend
$15
-
Student/Retired
$
Donation Schedule
One Time
Monthly
Quarterly
Annually
Continue donating until
(mm/dd/yyyy)
Optional: Designate your gift to a fund
select one
General Fund
Land Protection Fund
Land Management Fund
Prairie Education Fund
Scholarship Fund
Optional: Gift in honor of . . .
Optional: Gift in memory of . . .
Contact Information
Name
*
First Name
Last Name
Email
Address
*
Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
