Complete this form, print this page, and mail to FENCE, 3381 Hunting Country Road, Tryon, NC 28782

Name :

Street Address or PO Box:

City :    State:      Zip:       Phone: Email:

Please check your desired category of support:                     Would you like to receive information about:

Individual/Family ( $50 or more)                                                             Volunteering at FENCE?

Supporter ($100 or more)                                                                         Corporate Friendships?

Builder ($250 or more))                                                                            Our Planned Giving Program?

Committee of 100 ($1000 or more

My check made payable to FENCE is enclosed

Please bill my in the amount of $

Card Number   Exp. Date (mm/yy) /   Name on Card