Avalonia Land Conservancy · 2000 Acre Campaign

Amount

*

$1,000

$500

$250

$100

$

Donation Schedule

I understand my gift will be used to support acquisitions within the 2000-Acre Campaign, unless noted below::

Donation in memory or in honor of:

This is a gift for:

Name, street, town, state, zip, email

Contact Information

Name

*

Prefix

First Name

Last Name

Suffix

Email

*

Verify Email

*

Spouse / Partner Name

Prefix

First Name

Last Name

Suffix

Spouse / Partner email

Verify Email

Organization

Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Phone type

*

Phone number

*

Employer match

Will your employer match your donation?

Yes

No

Contact information

Does Avalonia need to contact your employer?

Yes

No

Employer

Employer name / address / phone / website for match information

Volunteer interest

Check all appropriate boxes

Trail Maintenance

Boundary Marking

Boundary Walking

Preserve Steward

Record Keeping

Town Committee

Donor Listing ?

I would like to remain anonymous on any listing of donors

Yes

Legacy giving

I have included Avalonia Land Conservancy in your estate plans.

I would like more information on estate gift giving.

We use PayPal to process all our online transactions, you do not need a PayPal account to donate! Thank you for your support!

Date

(mm/dd/yyyy)