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Greenbelt Membership: Join us

Greenbelt memberships also make great gifts!

Name: _________________________________________________________

Address: _______________________________________________________

City, State, Zip: ___________________________________________________

Email Address: ___________________________________________________

Phone Numbers: __________________________________________________

Cellular: ________________________________________________________

Please Choose the Memberhip Category that best suits you

  • ___ Young Naturalist, $10 for children under the age of 12
  • ___ Student: $15 for students ages 13- 24
  • ___ Friends: $25
  • ___ Family: $50 for a family of four
  • ___ Affiliate: $100
  • ___ Patron: $250
  • ___ Benefactor: $500

    • Greenbelt Sponsor Levels

    At these levels, you have a substantial impact on the programs we are able to offer. In addition to great benefits, our Bronze, Silver, Gold and Platinum members receive public recognition for their company, organization or family in substantial and meaningful ways. These levels are designed with companies and generous community members in mind.   To give at these levels, please contact usdirectly to discuss the specific benefits at each level.

  • ___  Sponsor: $1,000
  • ___ Bronze: $2,500
  • ___ Silver:  $5,000
  • ___ Gold: $7,500
  • ___ Platinum: $10,000

    • Payment Option:

    _______I have enclosed a check payable to the Greenbelt Conservancy

    Bill my: _____ Visa   _____ MC   _____ AMEX   ____ Discovery Card

    Name on Card: _______________________________________________

    Card #: __________________________________ Exp. Date: __________

    Authorized Signature: __________________________________________

    I do not wish to become a member, but enclosed is my gift: $ ________

    Your contributions may be doubled if your company has a matching gift program.

    Please ask your human resources department for a form to send along with payment.

    Return this form with payment to:

    Greenbelt Conservancy Membership, 200 Nevada Avenue, Staten Island, New York   10306

    The Greenbelt Conservancy is a 501 © (3) tax-exempt organization. Your donation is deductible to the extent permitted by law.

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