Mohawk Hudson Land Conservancy
PO Box 567
Slingerlands, NY 12159
(518) 436-6346
Membership Form

Simply fill-in this membership form; print it out, and mail it with your check to the address below.

YES! I want to do my part to help preserve the Mohawk-Hudson region's natural and scenic resources. Please enroll me as a member of the Mohawk Hudson Land Conservancy at the following membership level:

$1000 Benefactor
$500 Patron
$250 Sponsor
$100 Supporting
$50 Contributing
$35 Friend
___ Other

All contributions to the Mohawk Hudson Land Conservancy, Inc. are tax deductible to the maximum extent allowed by law.
A copy of MHLC's latest annual report may be obtained upon request from MHLC or from the Office of the Attorney General, Charities Bureau, 120 Broadway, New York NY 10271

Name
Address
Address
City/State/Zip
Phone Number

Please acknowledge the above membership as a gift from:

Name

I would like to be a Conservancy volunteer.

Please send me information about planned giving.