ACRES Land Trust · Memb/Donation-IHO-IMO-Gift Memb

PROTECTING LAND. TOGETHER. FOREVER.

People like you who value land make all the difference.

Your contribution sends a clarion call throughout our region: we value natural places.

This form allows you to make a donation, gift a membership to a friend or family member, or give a gift in honor or memory of someone else.

Your Name *

First Name

Last Name

Spouse/Partner First and Last Name (if applicable)

Business or organization name (required for corporate membership)

Address *

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Email *

Verify Email *

I would like to receive ACRES' email newsletter *

Yes, please sign me up!

No thanks.

Phone *

Phone Type

Mobile

Home

Work

Donation Options (with a donation of $20 or more, you become an ACRES member!)

$1,000 - Life Membership

$500 - Corporate Membership

$500

$100

$50

$

Donation Schedule

Is this a gift membership for someone else?

Yes

No

Gift Recipient Name *

First Name

Last Name

Address of Gift Recipient *

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Donation reason

Let us know which project you'd like to support!

Gift is in honor of *

First Name

Last Name

Address of honoree *

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Gift is in memory of *

First Name

Last Name

Name of family member or friend to be notified

First Name

Last Name

Please send the memorial notification to

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Check all that apply

My employer sponsors a matching gift program. I will send in a matching gift form from my Human Resources department.

Please send me information on how to include ACRES in my financial, estate and gift planning.

I have remembered ACRES in my financial, estate and gift planning.

ACRES is a 501(c)3 nonprofit organization. Your donations and membership are tax deductible as allowed by law. You will receive a receipt confirming your membership and/or gift. Thank you!