Contributions

We would like to thank you in advance for your contributions to the Fruitport Lions and to our community. All financial contributions are tax deductible as we are a 501c(3) organization. Please fill in the information below, print it to be sent with your contribution and for your records and then submit this form at the bottom of the page. Again thanks for your support of Fruitport and the Fruitport Lions Club.

Please provide the following information:

First Name
Last Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail

I Would Like My Contribution Used In / For


If Other Please Describe


Are You Interested in Membership Information

Yes
No

Contribution Amount

$ .00

Please Print 2 copies of this page prior to submitting

Keep 1 copy for your records

Mail the second copy, with your check, made payable to:

Fruitport Lions Charities
2400 E. Columbia Ave.
Muskegon, MI 49444


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