My/Our DONATION:
Yes, I/we will support the “Love the Lodge” campaign through the
following gift or any amount you wish to give. All are welcome!
$________ $20,000
                $10,000
                 $5,000
                 $1,000
                   $500
                   $100
The gift will be made as follows:
$_________Herewith and attached.
I wish to pledge $________ to be paid:
$_____ in ʼ10, $____ in ʼ11, $____ in ʼ12
Signature(s) ________________________
Name(s) ___________________________
Print the name(s) to appear on the recognition wall
at the restored Lodge.
Address ___________________________
Phone ____________________________
City, State, Zip: ______________________
Checks may be made payable to:
Badlands Ministries – Love the Lodge
PO Box 305, Medora, ND 58645

BECOME A 'LODGE RIDER' WITH ANY GIFT OF $100 OR MORE!