Harmon Canyon Legacy Wall Confirmation Form

Harmon Canyon Legacy Wall Confirmation Form

Thank you for your commitment to supporting Ventura Land Trust and Harmon Canyon Preserve. This form is to confirm your wish to donate and be commemorated with a personalized Leaf on the Harmon Legacy Wall created by local metal artist Tyronne McGrath. The wall will be installed near the Harmon Canyon Preserve trail head. A Legacy Wall Leaf is available to those who have donated $1,000 or more to the Harmon Canyon Preserve. This commemoration opportunity is also available for new donors or setup an installment plan. Please answer the questions below in order for VLT to have all the proper information for your Legacy Wall Leaf and contribution.
Name*

First NameLast Name
Email*
example@example.com
Phone Number
Please enter a valid phone number.
Address

Street Address

CityState

Zip Code
Harmon Canyon Legacy Wall Leaf Donation

I have already donated or setup paymentsI would like to setup a donation installment planI will mail a check (Ventura Land Trust, P.O. Box 1284, Ventura, CA 93002)I would like to pay onlinePayment will be sent from a 3rd Party (DAF, Trust, Foundation)Other
Please mark your donation preferences below

Donating in honor or memory of (please enter name below)Donating anonymouslyPlease send a single donation receipt at year end (if donating with multiple payments)Other
If donating in honor or memory of someone please enter name below
Harmon Legacy Wall Leaf Details

Please tell us what you would like the wording on your Legacy Wall Leaf to be. Note the max characters for each of the three lines. You do not need to use all three line. Spaces count as a character. Example: Line 1 - John Smith (counts as 10 characters)
Legacy Wall Leaf Line 1 - Max 11 Characters
Legacy Wall Leaf Line 2 - Max 10 Characters
Legacy Wall Leaf Line 3 - Max 10 Characters
Do you have any additional questions?
Should be Empty: