Yes, I want to give a gift membership to the Lower Grand River Land Trust!

Please fill in the form, print it out and mail it with your cheque to the Lower Grand River Land Trust.

Who is the gift membership for?

First Name:

Last Name:

Address:

City/Town:

Province:

Postal Code:

Type:

Individual............ $24
Family................ $30
Student.............. $15

Total Enclosed:

(Thank you. A tax receipt can be issued for donations of $10 or more) Tax receipt required.

Who is the membership gift from?

First Name:

Last Name:

Address:

City/Town:

Province:

Postal Code:

Please print out this form and mail it with your cheque (payable to the Lower Grand River Land Trust) to:

Lower Grand River Land Trust
P.O. Box 610
Cayuga, Ontario
N0A 1E0