Corporate Membership form

The Couchiching Conservancy2009

YES, saving green space is vital to the future of our business! We are continuing our support of The Couchiching Conservancy as a Corporate Member at the following level:

Level 5 - $2,501 - $5,000 Level 4 - $1,001 - $2,500 Level 3 - $351 - $1,000 Level 2 - $151 - $350 Level I - $150 Other - $________

Receipts will be issued for the full amount of your Corporate Member Donation.
Charitable Registration #13972 5030 RR 0001

RBC Raises the Bar!

_____ Our cheque is enclosed.

______ Bill Visa Card #________________________________ Exp. Date______/______

Signature_________________________Pls.Print Name______________________________

Contact Name and Title :_____________________________________________

Organization Name :_________________________________________________

Full Mailing Address :____________________________________________________________________________________

Telephone#_______ _______ _______ Email___________________________

Current Date :_________________2009

Please return this sheet along with your preferred method of payment to:
THE COUCHICHING CONSERVANCY - P.O. BOX 704, ORILLIA, ON L3V 6K7
www.couchconservancy.ca- Contact: Gayle, at gayle@couchconservancy.ca - 326-1620

The Couchiching Conservancy
As a Couchiching Conservancy Corporate Member you enjoy the following benefits for one year from date of current support

BENEFITS Level 5 Level 4 Level 3 Level 2 Level 1

Recognition in quarterly newsletter, Conservancy News * * * * *

Recognition in Conservancy's Annual Report * * * * *

Recognition at Annual General Meeting * * * * *

You will receive a Conservancy decal * * * * *

You will receive copy of quarterly newsletter, Conservancy News * * * * *

You will receive a tax receipt for full value of donation * * * * *

You will receive a custom-designed display plaque * * * * *

You will receive a corporate profile with photograph in quarterly newsletter, Conservancy News * *

You will receive a complimentary issue of the Guide To The Couchiching Conservancy Properties * * * * *

News release will be submitted to the media highlighting your company's support of the Conservancy * *

Corporate name and logo recognition at Conservancy Centre at Grant's Woods * *

Use of Conservancy logo and identification of your corporation as a Conservancy Corporate Member during course of current membership year* * * *

You may identify your company as a Conservancy Corporate Member during course of membership year * * * * *

VIP Tickets to Conservancy special events 10 8 6 4 2

An invitation to attend the Conservancy Corporate Members' Recognition Day, to be hosted at Grant's Woods * * * * *

Opportunity for display presence at Conservancy special events (subject to logistic availability) * * *

* subject to prior Conservancy review

BENEFITS	Level 5	Level 4	Level 3	Level 2	Level 1
Recognition in quarterly newsletter, Conservancy News	*	*	*	*	*
*Recognition in Conservancy's* Annual Report**	*	*	*	*	*
Recognition at Annual General Meeting	*	*	*	*	*
*You will receive a Conservancy* decal**	*	*	*	*	*
You will receive copy of quarterly newsletter, Conservancy News	*	*	*	*	*
You will receive a tax receipt for full value of donation	*	*	*	*	*
You will receive a custom-designed display plaque	*	*	*	*	*
You will receive a corporate profile with photograph in quarterly newsletter, Conservancy News	*	*
You will receive a complimentary issue of the Guide To The Couchiching Conservancy Properties	*	*	*	*	*
News release will be submitted to the media highlighting your company's support of the Conservancy	*	*
*Corporate name and logo recognition at Conservancy* Centre at Grant's Woods**	*	*
Use of Conservancy logo and identification of your corporation as a Conservancy Corporate Member during course of current membership year*	*	*	*
*You may identify your company as a Conservancy Corporate Member* during course of membership year**	*	*	*	*	*
*VIP Tickets to Conservancy* special events**	10	8	6	4	2
*An invitation to attend the Conservancy Corporate Members'* Recognition Day, to be hosted at Grant's Woods**	*	*	*	*	*
*Opportunity for display presence at Conservancy* special events (subject to logistic availability)**	*	*	*