Membership Form
- Name: ______________________________________________________
- Company: ___________________________________________________
- Street: ____________________________________________________
- City, State, Zip: __________________________________________
- Phone number: ______________________________________________
- Email address: _____________________________________________
Enclosed is my tax deductible membership contribution to support Interior Alaska Land Trust's voluntary land protection efforts.
- Student $10 ______
- Individual $20 ______
- Family $30 ______
- Donor $50 ______
- Optional contribution for $______
- Blueberry Preserves Project $______
- Total funds enclosed $______
- Land Trusts ______
- How I can protect my land ______
- Other _______________________________________
Please print this page, fill out the form and mail it with your check made out to IALT to:
- Interior Alaska Land Trust
- PO Box 84169
- Fairbanks, AK 99708-4169