Edward L. Rose Land Conservancy On-Line Secure Donation Page Please enable JavaScript in your browser to complete this form.Choose a Fund for your Donation: *Conservation - general fund supporting the ConservancyMemorial Fund - in memory or honor of Friend or family memberSpecific Program or Activity - meeting a local goal Name of Memorial Friend or Family Member Name of Specific Program/ActivityMake this an Anonymous DonationAnonymous Write Fund Select Please select "Memorial Fund" if this donation is in memory or in honor of a friend or family member, then type his or her name in the line that will appear below. Please select "Specific Program" if this donation is in support of a specific Edward L Rose program or activity, then type the name of the program/activity in the line that will appear below.. This donation does not include annual membership dues. To become a regular member, or to renew your membership subscription, return to the home page and click on the pull-down "Membership" Tab. Questions? Please call our office at (570) 432-0162 or email us at [email protected]. Choose a Donation Amount:- - $50.00- - $100.00- - $250.00- - $500.00- - $1,000.00Or Write in Your unique donation (no $ sign)Minimum Price: $50.00Anonymous Donation Total * Order Summary Item Quantity Qty Total There are no products selected. Choose a Donation Amount: - -1$50.00Choose a Donation Amount: - -1$100.00Choose a Donation Amount: - -1$250.00Choose a Donation Amount: - -1$500.00Choose a Donation Amount: - -1$1,000.00Or Write in Your unique donation (no $ sign)1$0.00Total$0.00 $0.00This is an anonymous donation summaryTotal * Order Summary Item Quantity Qty Total There are no products selected. Choose a Donation Amount: - -1$50.00Choose a Donation Amount: - -1$100.00Choose a Donation Amount: - -1$250.00Choose a Donation Amount: - -1$500.00Choose a Donation Amount: - -1$1,000.00Or Write in Your unique donation (no $ sign)1$0.00Total$0.00 $0.00Please Complete the Donor Information: Name *FirstLastGift given jointly with Spouse or PartnerJoint Gift Name of Spouse or Partner, if given jointly *FirstLastAddress *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePrimary Email *EmailConfirm EmailSpouse or Partner EmailEmailConfirm EmailPrimary Phone *After you complete this form, select the"PayPal" or credit card option, enter your information, and click on "SUBMIT" to send your donation details into our secure transaction processor. Once your data has been received, your donation will be processed and you will receive a written acknowledgement confirming of your donation. Check with the IRS on your tax deduction status. (IRS Publication 526.) Thank you from all of us at the Edward L Rose Land Conservancy. Select for PayPal or Credit Card Payment *PayPal CheckoutCredit CardCard NumberExpiration DateSecurity CodeCard Holder NameCustom Captcha *What is 14 - 7? Submit for secure processing