Support the PLC

My Information

First *

Last *

Second Person

Address *

City *

State * Zip *

Telephone *

Cell Phone

Email *

*

Gifts

GIFT AMOUNT
Preservationist $10,000
Guardian $5,000
Protector $2,500
Conservationist $1,000
Supporter $500
Contributor $250
Friend $100
Family $50
Individual $25
Other—Enter amount:

SUSTAINING GIFT (monthly amount)
Friend $10
Contributor $25
Supporter $50
Conservationist $85
Protector $225
Guardian $500
Preservationist $1,000
Other (min. $10/mo.)—Enter amount:

Member Benefits

Please list your name as you would like it to appear in our Annual Report and other publications:

I wish to remain Anonymous

Please direct my gift to the following fund:

PLC Annual Conservation Fund

Other

This gift is made

In memory of

or

In honor of

Please send an acknowledgement of my gift to:
(Please provide name & address)

I have asked my employer to match this gift!

Payment Information: (If you prefer you may also print this form and return by mail with your personal check)

Credit Card*

Name as it appears on card*

Card Number *

Expiration Date*

Month* Year*

Card Security Code**

*Usually the last 3-4 digits on the signature panel

How did you hear about PLC?

Newspaper or Radio Mailing Display Board Public Event

Friend or neighbor: Please tell us who so that we can thank them!

Please contact me, I'd like to talk about:

PLC's Land Conservation and other initiatives

Ways to conserve my land

Volunteering for PLC

How to include PLC in my will or estate plans

Tell us more!

Why did you decide to join PLC? What interests you most about our work? What would you like to hear more about? We'd love to get to know you better, so please, jot us a note!