Untitled

Come Join Us

Fill in and print the form. Then mail to:
  American Chestnut Land Trust, Inc.
  P.O. Box 2363
  Prince Frederick, MD 20678

Name:

Address:

City:

State: Zip:

Phone:

e-mail:

I(we) learned about ACLT from:

Select a membership category from the following list:

Family Memberships: Land Saver - $35.00 Land Protector - $60.00 Land Conservator - $150.00 Habitat Protector - $500.00 Trustee of Land - $1000.00 Sustaining (Lifetime) - $2500.00	Corporate Memberships: Land Saver Corporate - $150.00 Land Protector Corporate - $250.00 Land Conservator Corporate - $500.00
I do not wish to become a member at this time, but I would like to support your work with a donation in the amount of:

The American Chestnut Land Trust is a 501 (c)(3) charitable organization. A copy of the current ACLT financial statement is available on request. Requests should be directed to the American Chestnut Land Trust, Inc., PO Box 2363, Prince Frederick, MD 20678 or call 410-414-3400. For the cost of copies and postage, documents and information submitted under the Business Regulation Article of the Annotated Code of Maryland are available from the Secretary of State.