MEMBERSHIP FORM                  

Yes, I would like to support the work of the Trust and become a part of its conservation efforts.

Name
Summer Contact Information
Winter Contact Information
Address
Address
City
City
State          Zip
State         Zip

Phone home
work
Phone home
work
Email address
Life Member.....................................$1000 x
Sustaining Member............................$500 x
Sponsoring Member...........................$100 x
Regular Member...................................$35 x
Associate Member................................$20 a

 

 

 

I would also like to make a gift to the Land Acquistion Fund of $_______________

Please send your tax deductable check to:

Wellfleet Conservation Trust
PO Box 84
Wellfleet MA 02667