Membership Application

To become a member of the Branford Land Trust, simply print this form, fill it out and send it, along with your check, to:

Branford Land Trust
P.O. Box 254
Branford, CT 06405

 

Name

Address

City

State

Zip

Phone
PLEASE CIRCLE ONE: New Member / Renewal

Please check your category:
  Category Annual Dues
___ Individual $20.00
___ Family $30.00
___ Supporting $75.00
___ Business $100.00
___ Patron $250.00
___ Life $1,000.00

DATE

For more information, call the Land Trust: (203) 483-5263
or email us at info@branfordlandtrust.org.

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