Southern Indiana Bike Share Project


     Please print this form to mail your gift to
     Southern Indiana Trails.
     * = required information


     Donation Amount* $ ______________

     First Name* _________________________________________________________
     Last Name* _________________________________________________________
     Street Address* ______________________________________________________
                               ______________________________________________________
     City* ______________________________________
     State*______________ Zip Code*_______________
     Phone Number _______________________________
     E-mail ______________________________________


     Please make all checks payable to:
     "Tim Tanguay"

     Please mail your gift to:
     Southern Indiana Trails
     2037 Pollack Ave
     Evansville, In 47714

     Thank you for your gift!