Please print and mail this page to:
Franklin Land Trust
P.O. Box 450
Shelburne Falls, MA 01370

Name:.....................................................................................................................................

Address:.................................................................................................................................

City:.............................................................State:...................................... Zip:...................

Telephone Number:..............................................................................................................

E-mail: .................................................................................................................................

Donation Amount: .........$5000.......$1000.......$500 .......$250 .......$200........$100 .......$50 .......$25 ........other (amount.................)

Please also include a donation of .......................................to the Mark Zenick Land Preservation Fund.

Please also include a donation of ........................................to the Mary Robinson Torras Foundation Fund.
This fund ensures the sustained success of the Franklin Land Trust, providing long-term operating support for the Land Trust,
as did founding board member, Mitzi Torras.

.................Check Enclosed   OR   Please charge my credit card a total of $..........................

Mastercard or Visa No.: ......................................................     Expiration Date:......................
 

I would prefer to donate monthly payments of $...................  

Mastercard or Visa No.: ......................................................     Expiration Date:......................

..........I am interested in volunteering. Please contact me.

..........I would like information about planned giving.

..........I wish to donate stock.

..........I wish to donate land.

.........I wish to have a conversation about protecting MY property.

.........Other _____________________________________________________________________________________________