MEMBERSHIP APPLICATION


Long Island Greenbelt Trail Conference
Post Office Box 5636
Hauppauge, NY 11788
Telephone: 631-360-0753
Fax: 631-360-8127
ligreenbelt@juno.com

Name:

Address:

Town:

State:

Zip:

Phone:

Please Check:

New:   Renew:

$20.00 Regular Membership (Newsletter with hike schedule - maps not
      included)

$30.00 NEW PATHFINDER MEMBER (Includes maps & Newsletter)

$50.00 Sponsor (incl. maps)

$300.00 Corporate

Annual $100.00 Patron (incl. maps)

$500.00Life Member (incl. maps)

I enclose an additional donation of $

I would like to help with:
Trail maintenance  
Trail stewardship and patrols
Special projects (staffing exhibits, etc.)

Please Print Out and Mail In

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