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SHELTON LAND CONSERVATION TRUST, INC.
PO Box 2276 - Huntington Station
Shelton, CT 06484

MEMBERSHIP APPLICATION/RENEWAL

Today's Date: ____________________

Type of Membership - Check One

Individual/Family $15.00/year____        Life Membership $250.00 ____         Additional Donation   $__________

Mr. Mrs. Ms.: ______________________________________________       Spouse: ______________________

Address: ___________________________________________________________

City/State/Zip: ______________________________________________________

Phone: ________________________          Email: _________________________

I would like to volunteer for:
  
Land Monitoring___; Fundraising___; Grant Writing___; Coordination of work parties___;
  
Chairing event booths___; Writing News articles for "Spruce"___; Guided hikes___;
  
Mailings___; Articles for newspapers & Channel 10___; Invasive plant management___;
  
Knowledge of biology, ecology and environmental science___; Land preservation___;
  
Trail construction___; Chairing annual meeting___; Securing speakers___.

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