Yes, I want to support the efforts of the Round Lake Area
CHARACTER COUNTS!^SM Initiative!

Affiliate Membership - Free Community Contributor - $25 Community Supporter - $50 Community Sponsor - $100 Community Promoter - $250 Community Investor - $500 Community Builder - $1,000 Community Pillar - $5,000 Donation - $______________ All members will receive a start-up packet containing CHARACTER COUNTS! materials and educational supplies relative to the level of sponsorship. All donations are tax deductible.

Membership applications and contributions are accepted at either: CHARACTER COUNTS! c/o Round Lake Area Park District 814 Hart Road Round Lake, IL 60073 Fax 847-740-8180 Call Heidi Wodrich at 847-546-8558 or CHARACTER COUNTS! c/o The Round Lake Area Public Library 906 Hart Road Round Lake, IL 60073 Fax 847-546-7104 Call Tom Finnegan at 847-546-2351 Checks can be made payable to Round Lake Area CHARACTER COUNTS!

Name/Contact Person: _______________________________________

Organization (if applicable): ____________________________________

Phone: ( )_______________________Fax: ( )______________________

Address: ___________________________________________________
___________________________________________________________

E-mail and/or Web Address: _____________________________________

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