Donation Form
Donation Amount
I’m a Midland Recycler, too, and will help build the future of Midland Recyclers with a tax-deductible donation as indicated below.
[ ] $25 Recycler
|
[ ] $50 Green Recycler
|
[ ] $100 Gold Recycler
|
[ ]$200 Gold to Go
Green Recycler |
[ ] I am sending an additional $10 to have my name/family name(s) displayed on the recycling truck.
____________________________________________________________(10-35 characters)
Member Details
For our records, please provide the following information. At no time, will your information be sold or made available to third-parties or used for purposes other than notification of Midland Recyclers programs and events.
Name:_____________________________ Address:___________________________
City/State:__________________________ Zip:_______________________________
Email:_____________________________
Notification Preferences
Please indicate your preference for receiving notifications about Midland Recyclers programs and events.
[ ] Email (the greenest and most cost-effective choice)
[ ] US Mail
[ ] I do not wish to receive information
Thank you for your support!
Please send this form along with your donation in the form of a check or money order, made payable to Midland Recyclers via U.S. Mail or drop it off to us at:
Midland Recyclers
4305 East Ashman St.
Midland, MI 48642