Become a Member of the PLC

My Information

First

Last

Second Person

Address

City

State Zip

Telephone

Cell Phone

Email

*PLEASE ENTER COMPLETE EMAIL ADDRESS

Membership Type

New Renewal

Membership Plan

ANNUAL MEMBERSHIP
$25 Individual $50 Family $100 Contributor
$250 Supporter Other

SUSTAINING MEMBERSHIP
Monthy amount billed to a credit card:
$10 $15 $20 $25 Other

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 can I make a significant gift to PLC, either through my will or by other means

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!