Palmer Land Trust Membership

                          NOTE:  Donors who contribute to the trust, for any amount or purpose (*),                                  will be considered members of the trust for that calendar year.

______ $1,000 (Millenium Society)

______ $   500

______ $   200

______ $   100

______ $    50

______ Other _______                               [Any amount you deem appropriate for you]

When we see land as a community
to which we belong,
we may begin to use it
with love and respect.

Aldo Leopold

Name                _________________________________________________________

Address             _________________________________________________________

City/State/Zip   _________________________________________________________

Email                _________________________________________________________

______ New Member ______ Renewing Member ______ New Address

______ Company Matching Gift Program

To assure its viability, a growing number of supporters donate $1,000 or more each year to support increase land conservation needs along the southern Front Range.  We celebrate these invaluable members and encourage others to join the Millennium Society.

If you would like your gift to be anonymous, please initial ______

*Exceptions, such as memorial gifts, may exist.

Copy, print, complete, and mail this form to:
Palmer Land Trust
P.O. Box 1281, Colorado Springs, CO 80901

Please make checks payable to Palmer Land Trust