To make a donation to Churchville Nature Center's Capital Campaign, please print out this form, fill it out, and mail it to:

Churchville Nature Center
501 Churchville Lane
Churchville PA 18966

You may also contact CNC by phone (215-357-4005) or email churchvillenaturecenter@co.bucks.pa.us

Yes! I would like to make a contribution in support of the Churchville Nature Center Capital Campaign.

Enclosed is the first installment of my three-year pledge in the amount of:

[ ] $10 ($30 total) [ ] $25 ($75 total) [ ] $50 ($150 total) [ ] $100 ($300 total)

[ ] $200 ($600 total) [ ] $500 ($1500 total) [ ] $1,000 ($3,000 total)

[ ] OTHER: _____ $ three-year pledge / one-time donation (please circle one)

[ ] My (spouse’s) employer matches charitable contributions. I’ve included the employer matching gift form.

[ ] Please contact me. I would like to make a large donation and want more information on adoption options. Please contact me at the following:

______________________________________________

Churchville Nature Center offers recognition benefits for all individuals that make a donation of $100 or more.

Payment Method: [ ] check* [ ] Visa/Master Card **

Card # ___________________________ Expiration Date: ___________

Signature ________________________________________

• Please make checks payable to Churchville Nature Center
• Credit card donations may also be made by phone at (215) 357-4005 during regular business hours
  

Name: ______________________________________________

Address: ____________________________________________

City: ______________________________ State: ____ Zip: ________

Phone: _______________________

Donations are tax deductible to the full extent of the law.
A copy of the Friends of Churchville Nature Center Board of Directors official registration and financial information may be obtained from the Pennsylvania Department of State by calling toll-free within Pennsylvania, 1-800-732-0999. Registration does not imply endorsement.