A Founding member makes a five year commitment for an annual $1,000.00 donation.
Please print and mail this form with your payment:
Greene County 100 Club
321 E. Chestnut Expressway
Springfield, Missouri 65802
Name:_____________________________________________
Address:___________________________________________
City:_______________________ State:_____ ZIP:__________
I wish to give to the 100 CLUB in the amount listed below:
[ ] Founding Member: a five year commitment of $1000.00 annually
[ ] Founding Member: a one time payment of $5000.00
Contributions are tax deductible.