Membership Form Please print this form and mail your check to:
Androscoggin Land Trust
P.O. Box 3145
Auburn, ME 04212
Contact Information:
NAME:
ADDRESS:
CITY:
STATE:
ZIP:
PHONE:
EMAIL ADDRESS:
Membership Gift:
$500 $250 $100 $50 $25 Other:
I wish to make a gift...
In memory of:
In honor of:
Send gift notification to:
(provide mailing address):
I would like to volunteer for the land trust. I can help with:
I would like more information about conservation easements and donations of land.
Please do not list my name with your list of contributors.
