ECFLA - Membership Application

EASTERN CONNECTICUT FOREST LANDOWNERS ASSOCIATION MEMBERSHIP APPLICATION We welcome new members. To join, please fill out and print the form below, and mail it with the appropriate dues to: ECFLA, PO Box 404, Brooklyn CT 06234
Name:
Street Address:
Town:			State:	Zip:
Phone:			E-mail (optional):
Newsletter:	If you provided an email address, would you like the ECFLA newsletter sent to you by email rather than regular mail? If yes, it would save us the postage expense.) Yes No
Land owned:	None. I own acres of land in the town of
Please send information about the Wolf Den Land Trust
Type of membership (12 month):
Individual:	$20	Family: $25	Sustaining: $35	Business: $35
Life:	$350	Life: Honorary Founder $1,000
How did you hear about ECFLA: ECFLA display Mailing Newspaper article Newspaper ad Friend Website Other:
ECFLA is a 501-3(c) nonprofit organization. Dues are tax deductible as allowed by law. Thank you for your contribution!