Joshua's Trust Membership Form

Please complete, print and mail this form to:

Joshua's Trust
Membership
P O Box 4
Mansfield Center, CT 06250

Membership Dues:
Corporate or Lifetime $1000
Benefactor $250    
Patron $100     
Sustaining $50 
Family $20
Individual $10
Youth/Educational Organization $5
Additional contibution designated for Land Acquisition
If this is for a specific parcel please specify the
parcel:_____________________________________
 

Check enclosed

Name (Mr. Mrs. Ms.) _____________________________________

Address:_______________________________________________

Town/State/Zip: _________________________________________

Home Phone (______) ____________________________________

Thank you for becoming a Joshua's Trust member!