Membership Renewal
Membership contributions are very important to help us meet our financial
obligations in the upcoming year. It is the memberships and contributions
that allow the Greene County 100 Club to help the families of officers and
firefighters when there is a line-of-duty injury or death. Your contribution
today of $1000, $500, $250, $100, or any other mount that you feel comfortable
with will enable us to keep working toward our shared goals.
Please print and mail this form with your payment to:
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:
[ ] Individual: $100.00
[ ] Corporate: [ ] Platinum - $1000 [ ] Gold - $500 [ ] Silver - $250
[ ] Other Amount: $_____________
Contributions are tax deductible.
MAKE A DONATION
