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Mahoosuc Land Trust
PO Box 981
Bethel, Maine 04217
Telephone 207-824-3806
Fax: 207-824-7307
Email:info@mahoosuc.org

             Mahoosuc Land Trust

The Mahoosuc Land Trust relies on contributions from individuals, businesses and foundations to fund its land conservation work:

    Being a member of the Mahoosuc Land Trust has satisfactions. You become part of a lively and growing organization devoted to the conservation of selected natural resources and to the appropriate public use. Members can feel a sense of ownership in the projects we develop and the activities we undertake. With your membership you will also receive our newsletter. We hope you will join today.

    If you would like to donate securities, please contact Jim Mitchell at the Mahoosuc Land trust (207) 824-3806.

Click here to obtain printable PDF formatted form.

Mahoosuc Land Trust
Membership Application

    To join the Mahoosuc Land Trust for the first time or to renew your membership, print this page and complete the form.  Make your check payable to Mahoosuc Land Trust and send it to P.O. Box 981, Bethel, Maine, 04217.
PLEASE NOTE: Fields with an asterisk are required to process your application.
* Name(s): _______________________________________

* Address: _______________________________________
* City :________________________* State: ___* Zip:______

   Phone #:(__)___________ Email: _______________________

* Levels of Membership are:

  c Patron $1000
  c Sponsor $500
  c Sustaining $250
  c Contributing $100
  c Family $50
  c Individual $35
  c Other $_______
  • I am enclosing $_______ in a check or money order.

I would like to pay with my MasterCard or Visa.

Name as it is on the card: ___________________________________

Card Number: __________________________________________

Expiration Date: _________________________________________

Signature: _____________________________________________

I have paid through PayPal.

Transaction ID #____________Invoice ID# ____________

If you utilize PayPal, donations can be made to our jm@mahoosuc.org account.