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 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.

Please also include a donation of .......................................to the Mark Zenick Land Preservation Fund. This fund supports
the land protection efforts of the Land Trust in creative ways, honoring founding executive director, Mark Zenick.

.................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 _____________________________________________________________________________________________