Barnstable Land Trust Membership Form

As a member of the Barnstable Land Trust you will help to preserve land in its natural state -

land which forever preserves the water quality, scenic vistas and wildlife in our Town.

Your support is crucial for our success!

Name(s):

Email Address:

Cape Mailing Address:

City:

State:

Zip Code:

Cape Phone:

Off-Cape Mailing Address:

City:

State:

Zip Code:

Off-Cape Phone:

Enclosed is my membership gift of:

$1,000     $500     $100     $60     $40     Other:

I wish to make a special gift...

     In memory of:

     In honor of:

I wish to make a gift to the Green Fund to be used for land preservation:

$1000     $500     $100     $500     $40     Other:

      If desired, please designate a specific Land Project:
      

 
My employer will match my contribution. I am enclosing their matching gift form.
 

Total Enclosed:

Please print this page and send it with your check to the address below.

Thank you!

Barnstable Land Trust
P.O. Box 224
Cotuit, MA 02635