EASTERN SIERRA LAND TRUST MEMBERSHIP/DONATION FORM

To join or make a donation, please print this form and mail to:

Eastern Sierra Land Trust, PO Box 755, Bishop, CA 93515 (760) 873-4554

I would like to be a member of the Eastern Sierra Land Trust!

New Member Renewal

Name_____________________________________ Phone ____________________

Address _____________________________________________________________

City, State and Zip Code _________________________________________________

Email (please print clearly) ________________________________________________

Membership
Donations
Become a member and help to preserve the rural landscapes of the Eastern Sierra. As a member you will receive our newsletter and invitations to special events.

Please register my membership as:
 
Every donation helps add up to another acre preserved. Donations are tax deductible within the extent allowed by law.

I would like to donate:
$250 and above
$100
 
$5,000
$2,500
$50
$35
 
$1,000
$500
Other
 
$200
$100
 
 
 
Check here if you would like your donation to include a founding level membership.
May we publish your name in our Annual Report? Yes No
Please call me about volunteer opportunities Yes

 

PAYMENT INFORMATION: Make your check payable to: Eastern Sierra Land Trust, or enter your
credit card information:

VISA MC Amex

Card # _____________________________

 Expiration Date ________________

 

Signature ______________________________________

 

Amount ___________________

 

Thank you for your support!