The Lake Erie Islands Chapter of the Black Swamp Conservancy
 

   Yes, I would like to become a member to promote and preserve the islands’ open, scenic and agriculture areas into the future. Please accept my membership in the following category:

___ Friend $25

___ Supporter $50

___ Contributor $100

___ Steward $250

___ Patron $500

___ Life $1,000

___ Other

Name:______________________________________________

Address:____________________________________________

Phone #_____________________________________

E-Mail: ______________________________________

   Please make your check payable to the Lake Erie Islands Chapter of the Black Swamp Conservancy or LEIC-BSC.

Mail to: LEIC-BSC, P. O. Box 461, Put-in-Bay, Ohio 43456