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Wilderness Almanac

Please complete and print this form. Mail or fax it to the address to the left.

I want to help protect our wilderness heritage.

Name
Address
City
State/Zip
Email
Phone
$35
Friend of Wilderness
$50 Wilderness Associate
$100 Wilderness Patron
$250 Wilderness Benefactor
$500 Wilderness Steward
$1,000+ Wilderness Heritage Circle
Other Supporter

Check enclosed
Please charge my credit card. Card type:
Card number:
CVV2# (usually last 3 digits on back ):
Expiration date: (MM/DD/YYYY)

Signature: _______________________________________
My gift will be matched (form enclosed)
I would like my gift to be listed as anonymous.
I would like to receive updates* on the Trust’s work by:
Email Mail Both Neither
* WLT sends brief updates 3-4 times a year.