Rensselaer Land Trust
Membership
Note: This is not a web based form. Please print it and mail it in to the address below
Yes, I/we would like to support the work of the RLT:
Student ($ 15/year)
Individual ($ 25/year)
Family ($ 35/year)
Supporting ($100/year)
Sustaining ($250/year)
Advocate($500/year)
Land Steward ($1000/year)
Watershed Circle ($3000/year)
Other ($____________/year)
Name: ____________________________________________
Address: _____________________________________________
_______________________________Zip______________
Phone: ____________________ E-mail: ________________________________
Please make a copy of this order form and mail to:
Rensselaer Land Trust
PO Box 40, Lansingburgh Station
Troy, New York 12182
If you prefer, call (518) 238-2832 or e-mail the RLT at
rtlc@rtlc.org
Back to RLT Home Page
