MEMBERSHIP APPLICATION

Enclosed is my tax-deductible contribution to help maintain the Trust's existing nature sanctuaries
and to acquire land for the benefit of future generations.

Please print this page and mail to:
NRTP
P.O. Box 2279
Plainville MA 02762

Please make your check payable to the Natural Resources Trust of Plainville

[ ] Individual Membership $15

[ ] Family Membership $25

[ ] Sustaining Membership $50

[ ] Friend of the Trust $100

[ ] Lifetime Friend $1,000

[ ] Goddard Society $5,000 or more

NAME_________________________________________________

Address_________________________________________________

City, State/Zip_____________________________________________

Phone _______________________________________

Email Address _______________________________