REPLY FORM = Name / Company: Address: City:
State:
Telephone:
Zip: Email:
☐ I would like to be acknowledged/listed as:
☐ I/We will support McEnroe Organic Farm at the following level: ☐ $2,000 +
Sustainer
(Private farm tour for 4, including lunch at McEnroe Organic Farm)
☐ $1,000 to $1,999
Soil Builder
(Private farm tour for 2, including lunch at McEnroe Organic Farm)
☐ $500 to $999
Cultivator
(McEnroe Organic Farm Euro Magnet, Eco-friendly ChicoBag, & McEnroe’s Own Honey)
☐ $250 to $499
Seed Sower
(McEnroe Organic Farm Euro Magnet & Eco-friendly ChicoBag)
☐ $100 to $249
Friend of the Farm
(McEnroe Organic Farm Euro Magnet)
☐ Other $__________
☐ Check here if you would prefer NOT to receive a gift for your donation. Payment Information:
☐ Enclosed is my check for $__________ made payable to: McEnroe Organic Farm, Education Program 5408 Route 22 Millerton, NY 12546
☐ Please charge $_________ to my: ☐ Visa ☐ MasterCard ☐ Discover (Note: We cannot accept AMEX) Cardholder’s Name: Billing Address: Credit Card #:
Exp. Date:
CVV:
Signature (required): For more information, please contact: Jason Schwartz at (917) 373-2344 Reply forms can also be emailed to:
[email protected]