| Name: (required) | (Last) | (First) |
| Mailing Address: | ||
| City/Town: | ||
| State: | ||
| Zip Code: | ||
| Home Phone: (required) | i.e., (xxx)xxx-xxxx | |
| Work Phone: | i.e., (xxx)xxx-xxxx | |
| E-mail Address: (required) | i.e., xxx...@yy...y.nnn | |
| Basic Membership Level $30-$99 Steward of the Land $100-$249 Protector of the Land $250-$499 Guardian of the Land $500-$999 The Conservation Legacy $1,000-$4,999 The Longleaf Legacy $5,000-$9,999 The Great Sandhills Legacy $10,000+ |
| Check Money Order If paying by check or money order please send payment to: Sandhills Area Land Trust P.O. Box 1032 Southern Pines, NC 28388 |
| Credit Card If paying by Credit Card please contact SALT at 910-695-4323 |