Protecting and Preserving Wetlands
Honorarium or Memorial Form
Print this form, fill in the information and mail it, with your check, to:
P.O. Box 4172
Lawrenceburg , IN 47025
Oxbow, Inc sincerely thanks you for your donation which will help preserve
and improve wildlife habitat and protect a unique local wetland area.
My Gift is:
In memory of _____________________________________________________
In honor of (person) _______________________________________________
Oxbow, Inc. will acknowledge your gift by sending an appropriate note to those you designate. The amount of your gift will not be mentioned.
Please Notify: ______________________________________________________
City _______________________________ State _________ Zip ____________
City ________________________________ State _________ Zip ___________
Phone: ( ) _______________________ Amount of my gift: $ ___________
Please make your check payable to Oxbow, Inc.
Thank You – Your gift is tax deductible
Make a copy of this form for your records. As prescribed by tax law,
Oxbow, Inc. will formally acknowledge any donation of $250 or more.