Your Name* I am a TLC member.
Please make me a new TLC member.
I'm not interested in becoming a TLC member at this time.
Donor Attribution Please tell us how you would like to be recognized when we acknowledge this gift to the honoree (e.g., Anonymous, The Davis Family, Mr. & Mrs. X.O. Smith, etc).
You can use this form to make up to four honorary/memorial gifts. Please provide the name and contact information
of each honoree or honoree’s family so that we may send an acknowledgement of your gift.
This gift is
In Honor Of
In Memory Of
Honoree #1*
Name (for acknowledgement)
Address
City State Zip Code
This gift is
In Honor Of
In Memory Of
Honoree #2
Name (for acknowledgement)
Address
City State Zip Code
This gift is
In Honor Of
In Memory Of
Honoree #3
Name (for acknowledgement)
Address
City State Zip Code
This gift is
In Honor Of
In Memory Of
Honoree #4
Name (for acknowledgement)
Address
City State Zip Code
How did you hear about TLC?
Please select
TLC brochure
Word of mouth
Visited a TLC nature preserve
Newspaper or TV news
TLC mailing
Internet search
Independent Weekly — Indy Allies
WUNC 91.5 fm sponsorship
Other (please describe below)
Please share any additional details here, such as where you picked up a TLC brochure, which nature preserve you visited, who you heard about TLC from, etc.
Triangle Land Conservancy is a 501(c)(3) non-profit organization. All contributions are tax deductible. You will receive a thank you letter from TLC noting the amount of your gift;
please keep it for your tax records.
Financial information about this organization and a copy of its license are available from the State Solicitation Licensing Section at 1-888-830-4989. The license is not an
endorsement by the State.
