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Canute Dalmasse Memorial Fund Mail-in Contribution Form
Please use this form to make a memorial gift to VRC to honor the memory of Canute Dalmasse, who loved Vermont’s waters.

You can fill out this page on you computer screen and print it,
or print it first and fill it in by hand.
Please mail completed form with your check to:
Vermont River Conservancy, Suite 11, 29 Main Street, Montpelier, Vermont 05602
We Thank You!

 

Please complete the following:
Your Name:

Street Address:

Town:

State & Zip:

Phone:

Email:

I am enclosing the completed form above with my check to:

Vermont River Conservancy
Suite 11, 29 Main Street
Montpelier, Vermont  05602

vrc@vermontriverconservancy.org
802 229-0820

Gifts to the Canute Dalmasse Memorial Fund may also be made
securely online through Network for Good.
Please specify "Canute Dalmasse Memorial Fund" in the "dedication or gift" field.

Donate Securely Online

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In Memory of: Canute Dalmasse

Address gift acknowledgement to:
Name:

Street:

Town:

State & Zip:

Phone:

Email:

Amount of my GIFT contribution:
$
Acknowledgement Message: