Oxbow, Inc.

 

Protecting and Preserving Wetlands

P.O. Box 4172, Lawrenceburg, IN 47025

Phone: 812-290-2941

Honorarium or Memorial Form

 

Print this form, fill in the information and mail it, with your check, to:

Oxbow, Inc.

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) _______________________________________________

 

(occasion) _______________________________________________________

 

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: ______________________________________________________

 

Address: __________________________________________________________

 

City _______________________________ State _________ Zip ____________

 

From _____________________________________________________________

 

Address __________________________________________________________

 

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.