□$25
□$50
□$100
□$200
□$500
□$1,000
□$5,000
□Other
$___________
□ (Check here for Fly Rod Crosby Project)
Your
Name:_____________________________________________________________
Your Mail
Address:_______________________________________________________
Town:________________________________State:_______________Zip:___________
I do □or do not □ want my name listed on website contributor list
Make your check
payable to "Maine Guides Education Fund" and Mail with this form to:
MPGA,
97 Stoneybrook Way
Hermon, Maine 04401
The "Maine Guides Education
Fund" is a 501(c)3 charity - Donations are tax deductible