Waukesha Land Conservancy - Annual Membership
PO Box 2572
Brookfield, WI 53008
262-821-2044
| __ Contributor $35 |
__ Steward $250 |
| __ Sentinel $50 |
__ Conservator $500 |
| __ Guardian $100 |
__ Benefactor $1000 |
___ Matching Gifts (company) __________________________
___ In Honor of _____________________________________
___ In Memory of ___________________________________
Name _____________________________________________
Address ___________________________________________
City, State, Zip ______________________________________
Phone ___________________ Email _____________________
__ Call Me! I'd like to volunteer.
__ Check is enclosed (to Waukesha Land Conservancy)
Please charge my: __ Mastercard __ VISA
Card # ___________________________ Exp. Date ________
Because the Waukesha Land Conservancy
is a 501(c) (3) organization, your contributions are tax-deductible.