Dedicated to the preservation of open space in Wallingford, Connecticut.
Membership Application
Please enter my membership in the Wallingford Land Trust
| [ ] Life $250 | [ ] Corporate $100 |
| Needs no further renewal | [ ] Non-Profit Organizations $15 |
| [ ] Contributing $50 | [ ] Family $20 |
| [ ] Individual $15 |
| Name: | ____________________________________________________________ |
| Address: | ____________________________________________________________ ____________________________________________________________ |
| City State, Zip: | ____________________________________________________________ |
| Telephone: | ____________________________________________________________ |
| E-Mail: | ____________________________________________________________ |
If you have any questions, you can call Andrew Mays (Membership Chairman) at 203-687-3467
Please mail the membership application with your check to the address below.