Yes! I want to help protect the Upper Valley's
rural landscapes and wild places.

Two Ways to Join:

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

• 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).

Enclosed is my membership gift of:

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

I am a new contributor.
 I wish this gift to be anonymous
 My employer will match my gift. I have enclosed a matching gift form.

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

Address
 _____________________________________________

Town/State/Zip
 _____________________________________________

Phone
 _____________________________________________

Email
 _____________________________________________

Contact Person
 _____________________________________________
(for business or organizational members)

Learn about business membership opportunities here.

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.