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Please print and mail with your check. Thank you!

YES, I would like to help preserve Richmondís scenic and rural character. Please enroll me in the category indicated:
      ___ Lifetime$1000
___ Steward$100
___ Sustaining$50
___ Family$30
___ Individual$20
___ Limited Income$10

Name ____________________________________
Address __________________________________
City _________________State ___ ZIP _________
Phone ____________________________________
Email _____________________________________

Please make your check payable to the Richmond Land Trust and mail with this form to:
The Richmond Land Trust
P.O. Box 605
Richmond, VT 05477

___ I would like more information on conservation options for my land.
___ I would like to contribute volunteer services.

The Richmond Land Trust
P.O. Box 605
Richmond, VT 05477
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