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Opacum Land Trust Membership & Support |
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| Please select one of the following: | |
| This is from an Individual_____ | Business_____ if yes, please fill in below: |
| Business Name:__________________ | |
| Include a link to my business website: www.____________________________ | |
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| Membership Categories: Please select your membership level: |
Donor Categories: If you are able to make an additional donation: |
| _____ One Year, $25 | _____Land Regent, $1000 or more |
| _____ Two Years, $40 | _____Land Guardian, $500 |
| _____ Three Years, $50 | _____Land Conservator, $250 |
| _____ Senior annual, (60+), $20 | _____Land Preserver, $100 |
| _____Land Protector, $50 | |
| _____Land Steward, $___________ | |
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| Please complete the following information: | |
| Name:_____________________________________________ | |
| Address:__________________________________________ | |
| ____________________________________________ | |
| City, State, Zip:______________________________________ | |
| Phone:_____________________________________________ | |
| E-mail:______________________________________________ By giving us your e-mail address, we can inform you of events and breaking news. Opacum Land Trust does not share or distribute e-mail addresses. |
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| Please check the following that apply: | |
| _____My
Employer has a matching gift program Company Name:______________ |
____Please do not share my name. |
| _____Please contact me regarding a planned giving program. | ____Please do not list my name in publications. |
| _____I am interested in learning more about Conservation Options for my property. | |
| _____I
would like to learn more about volunteering with OLT. My interests
are |
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Any annual contribution will make you a member for that year. OLT is a
501(c)(3) non-profit organization, all contributions are tax deductible. |
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