Membership form
Barrington Land Conservation Trust
| Name __________________________________________________ |
Life Member |
$1000.00
|
| Address __________________________________________________ |
Benefactor |
$ 500.00
|
| City __________________________________________________ |
Conservator |
$ 250.00
|
| State __________ Zip Code _________ | Patron |
$100.00
|
| Your gift is tax deductible. | Sponsor |
$ 50.00
|
| Family/friend |
$ 25.00
|
|
| Sowams fund |
____________
|
|
| Other |
________
|
Mail to:
Barrington Land Conservation Trust
P.O. Box 324
Barrington, RI 02806-0324