Membership Information

If you are interested in joining the Land Preservation Society, make checks payable to: Land Preservation Society of Norton, Inc. and mail to PO Box 204, Norton MA 02766

Life...$100, Supporting...$25, Family...$10, Individual...$5, Student...$1


Name __________________________________________
Street Address_________________________________________
City, State. ZIP_________________________________________
Date_______________________________
Telephone___________________________
Type of Membership
Life ($100) ---------------------------Number ___ Amount _____
Supporting ($25) -------------------Number ___ Amount _____
Family ($10) ---------------------------Number ___ Amount _____
Individual ($5) -----------------------Number ___ Amount _____
Student ($1) --------------------------Number ___ Amount _____
Total Enclosed ---------------------------------------------------$ _____