YMCA TROUT LODGE & CAMP LAKEWOOD
ANNUAL CAMPAIGN DONOR INFORMATION & GIVING PAGE

First Name^*

Last Name^*

Street Address^*

City^*

State^*

Zip^*

Daytime Phone^*

Email Address^*

ARE YOU A TROUT LODGE & CAMP LAKEWOOD ALUM? ^*

Yes

Camp Lakewood Staff:

When:

Position:

Camp Lakewood Camper:

When:

Trout Lodge Staff:

When:

Position:

Triangle Y Ranch Staff:

When:

Position:

Amount of Gift:^*

Payment Information

Please contact me at the following daytime number for my credit card information:

Area Code^*

Number^*

PLEASE CONTACT ME REGARDING (optional)

Capital Campaign

Endowment Fund

Annual Campaign Donation