SOUTH PORTLAND LAND TRUST MEMBER FORM ____ $20 Pathfinder ____ $35 Trailblazer ____ $50 Bridge Builder ____ $100 Program Sponsor ____ $250 Leadership Circle ____ $500+ Steward

Renewing Member? Yes____ No_____ Name: _______________________________ Address: _____________________________ _______________________________ Email: ________________________________ Phone:________________________________ Your donation is tax deductible. Please consider a gift. To become a member, please fill out the above form and mail your check: South Portland Land Trust P.O. Box 2312 South Portland, ME 04116 You can also renew online at: www.southportlandlandtrust.org

SOUTH PORTLAND LAND TRUST MEMBER FORM ...

____ $20 Pathfinder. ____ $35 Trailblazer. ____ $50 Bridge Builder. ____ $100 Program Sponsor. ____ $250 Leadership Circle. ____ $500+ Steward. Renewing Member? Yes____ No_____. Name: Address: Email: Phone: Your donation is tax deductible. Please consider a gift. To become a member, please fill out.

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