Groton Conservation Trust Membership Form

You can support the work of the Groton Conservation Trust by becoming a member, helping to preserve the open space that is such an intergral part of the quality of life in Groton. Please print this form, fill it out, and mail it with your membership dues to the address at the bottom.

Please circle the membership category you would prefer:

• Individual, $15
• Family, $25
• Sustaining, $50

Please mark all that apply:

• To support the work of the Trust, I am making an additional contribution in the amount of $______
• My gift will be matched by my company (please enclose form).

Donations to the Trust are 501(c)(3) tax deductible contributions.

Your Name:

Your Mailing Address:

Please send this form to:

Groton Conservation Trust
Box 395
Groton, MA 01450