We are delighted that you want to join us as a member of Piedmont Land Conservancy. Member benefits include our quarterly newsletter, invitations to hikes and special outings, and the chance to meet with others who are dedicated to preserving our beautiful Piedmont communities! Please print and complete this membership form, then mail it to us with your payment to the address shown below.

Piedmont Land Conservancy
 P.O. Box 4025
Greensboro, NC 27404-4025

Here is my membership enrollment to support PLC's efforts to preserve natural and scenic lands, farms and green spaces in the Piedmont area of North Carolina to enrich the quality of life 
for our community and for future generations.

$35 Friend $250 Steward ________ Other
$60 Patron $500 Conservator
$125 Protector $1000 Piedmont Lands Society

Name ________________________________   Phone _______________

Address ___________________________________________________

City ________________________________  State ______  Zip _______

E-mail Address ___________________________________________

       My gift is in memory of: ____________________________________

       My gift is in honor of: ______________________________________

Please send notification of this gift to:

       Name ______________________ Address _______________________

       City _______________________________  State ______ Zip ________

       Donations of securities are welcome and may offer tax benefits to the donor. Please call (336) 691-0088 for more information.

_____ Check enclosed, payable to Piedmont Land Conservancy

____ VISA ____ Master Card # ________________________

Signature ____________________  Expiration Date ________

I have interest in including Piedmont Land Conservancy
        in my will.  Please send bequest wording information.
 I have included Piedmont Land Conservancy in my
        estate planning.
I would like to learn more about making a planned gift to
       support Piedmont Land Conservancy.
I want to volunteer; please send more information or call me.

For faster service, use your credit card
 and fax your order to us at 336-691-0044

Thank You!

Financial information about this organization and a copy of its license are
available from the State Solicitation Licensing Branch at (919) 733-4510. 
This is not an endorsement from the state.