Membership Application
(Tax Deductible)

Name:   (Last)   (First)
Mailing Address:
Zip Code:
Home Phone: i.e., (xxx)xxx-xxxx
Work Phone: i.e., (xxx)xxx-xxxx
E-mail Address: i.e., [email protected]

I would like to join as a (Select a membership level):
Basic Membership Level $35-$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+

Payment type (Select one):
Check or money order
Credit card

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 Type
Name on Card:   
Card Number:
Exp Month:
Expiration Year: