Fill out the following information, print and send to the Linn Conservancy along with your check.

Call 570-522-0487 with any questions or email conserve@ptd.net.

Yes! I want to join the Linn Conservancy this year as a (select one):

Benefactor $5000 Patron $1000 Steward $500 Sponsor $250 Contributor $100 Family $50 Individual $25

This is a (check one): New membership Renewal

Name(s)

Street Address

City State AA AE AK AL AP AR AS AZ CA CO CT DC DE FL FM GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MP MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY Zip

Home Phone Business Phone

Please send a Gift Membership at the Benefactor $5000 Patron $1000 Steward $500 Sponsor $250 Contributor $100 Family $50 Individual $25 level in my name to:
Name(s)

Street Address

City State Zip

Home Phone Business Phone

Please make checks payable to the Merrill W. Linn Conservancy, and return this printed form to:

THE MERRILL W. LINN CONSERVANCY
P.O. BOX 501
LEWISBURG, PA 17837

Interested in volunteering?