Membership levels:
___Hellbender $500
___Spotfin Chub $250
___Appalachian Elktoe $100
___Sicklefin Redhorse $50
___Sculpin $35
___Tennessee Shiner $25
___Other $____________
Please accept this gift and notify the following:
___in memory of
___in honor of
Name:_____________________
Address:___________________
__________________________
I would like to learn more about:
___Arranging a matching gift from my employer
___Making a gift of stock
___Other giving options, such as bequests
___Becoming an LTWA volunteer
Name_____________________________________
Address___________________________________
_________________________________________
City___________________State____Zip_________
Email_____________________________________
Home Phone_____________________________________
LTWA is a 501c3 nonprofit organization. Contributions are tax deductible.
Please make checks payable to LTWA.
Please print this form and mail it to:
LTWA
16 Stewart St.
Franklin, NC 28734