Yes! I want to join UVLT and help
conserve land in the Upper Valley!

Two Ways to Join:
• Print this page, fill out the form below, and mail with your check payable to Upper Valley Land Trust (note: print the form before filling it out), or

• Make a membership gift by credit card through the Network for Good secure website.

Household Membership:

Friend $ 25 Sustainer $ 500
Partner $ 50 Guardian $1,000
Sponsor $100 Leader $2,500
Supporter $250 Benefactor $5,000

My employer will match my gift. I have enclosed a matching gift form.

Business Membership:

Sponsor $100 - $499
Sustainer $500 - $999
Leader $1000 and above

Name
(as you wish it to appear in our records)
 ____________________________________

Address
 ____________________________________

Town/State/Zip
 ____________________________________

Phone
 ___________________________________

Email
 ____________________________________

Contact Person
(for business or organizational members)
 ____________________________________

Return to:
Upper Valley Land Trust, 19 Buck Road, Hanover NH 03755

UVLT is a 501(c)(3) tax-exempt organization. Your membership contribution is
fully tax-deductible to the extent allowable by law.

Donor confidentiality statement.