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Finger Lakes Land Trust
202 East Court Street,
Ithaca, NY 14850


FINGER LAKES LAND TRUST MEMBERSHIP FORM
Name: ________________________________________

Street: ________________________________________

City: ________________________________________

State: ___________________________ ZIP: ___________

County: ________________________________________

Phone: ________________________________________

Email: ________________________________________

Check one:
___ New Member  
___ Renewal   
___ Special Contribution
___ Gift membership? Please fill out the new member's information at the top of this form, then write in your contact information at the bottom of this page. Thanks!

    Membership Type (check one):
    ____ Chickadee (under 18) -- $10
    ____ Cerulean Warbler -- $35
    ____ Red-Tailed Hawk -- $50
    ____ Great Horned Owl -- $100
    ____ Bald Eagle -- $500
    ____ Great Blue Heron -- $1000
    ____ Other ____________ (enter amount)
____ I am enclosing my check
____ Charge my membership to my MasterCard or VISA

Name on Card:_____________________________

Card #: ___________________________________

Expiration Date: ____________________________

____ Please send me information about planned giving.
____ Have you thought about putting the Finger Lakes Land Trust in your will?
____ Do you have any goods or services that can be donated to us?

Your contributions are fully tax-deductible.

VOLUNTEER SIGN-UP: WE NEED YOUR HELP!
The Land Trust depends on volunteer help from its members. If you would be willing to contribute your time doing any of the following items please check the appropriate box.

    ____ Staffing an information table
    ____ Providing refreshments for programs
    ____ Assisting with special events
    ____ Putting up posters
    ____ Office help (stuffing envelopes, copying, answering the phone)
    ____ Preserve clean-up and maintenance
    ____ Leading nature walks at our preserves
    ____ Helping conduct plant/animal inventories
    ____ Being stewards/caretakers for protected lands
    ____ Doing title searches and tax office research
    ____ Surveying or appraising properties
    ____ Giving lectures or slide programs

    ____ Would you be willing to serve on one or more of our committees?

Additional skills I have:




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