Membership Application

First Name (Required)

Last Name (Required)

Street Line 1 (Required)

Street Line 2

City (Required)

State (Required)

Zipcode (Required)

Phone (Required)

Email (Required)

Join or Renew (Required)

I wish to join or renew as a member

Join Renew

Membership Type (Required)

Please select a membership type:

Individual: $25 (receive newsletter and event announcements, voting rights, and member discount on one ticket to gala event)
Living Lightly (student, senior, other): $15 (same as above)
Household/Contributing Member: $50 (above plus member discount on additional ticket for gala event)
Sustaining: $100 (above plus a WLT hat or tote bag)
Benefactor: $250 (above plus an additional WLT hat or tote bag)
Patron: $500 (above plus two free tickets to a gala event and [optional] listing on our web site)
Steward: $1,000 (above plus two additional free tickets to a gala event)

Additional Amount

I wish to make and additional donation of $

Committees

I am interested in joining a committee:

trail stewardship
land
fundraising & membership
program
special events
technology

Skills

I wish to volunteer my skills in:

Comment

Waltham Land Trust

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Please fill out the following form to apply for membership in the Waltham Land Trust. Then hit the "Send" button to send your application for membership. You can mail cash or a check to the address at the bottom of this page or click here to join on-line using a credit card.