The Land Trust Alliance: Non-Profit Partnership Form

Nonprofit Partnership Form

Please print this form and send it to:
The Land Trust Alliance
1660 L St. NW Suite 1100
Washington, DC 20036
or fax to (202) 638-4730.

I want to join at the $250 $500 $1,000 level.

Organization Name ____________________________________

Contact Name _____________________________________________
(Prefix, First, Last)

Title ____________________________

Address _________________________________________________________

_________________________________________________________

City ___________________________ State or Province______________

Country_________________________________

Zip or Postal Code ______________________

Phone ____________________ Fax _____________________

Contact Person's Email ________________________________

Website__________________________________________________________

Please make checks payable to the Land Trust Alliance. Payments can also be made with Visa or MasterCard. Please print legibly.

Payment by check

Credit Card Number: _________________________

Expiration Date: _____________________________

Cardholder Name: ___________________________

Cardholder Signature: ________________________

Nonprofit Partners also receive the following important benefits:

Benefit	Partnership Level
	$250/yr	$500/yr	$1,000/yr
20% discount on Land Trust Alliance books, publications and videos	Yes	Yes	Yes
Number of annual subscriptions to Exchange	1	2	3
Number of $100 vouchers for LTA Rally registration	1	2	3
Discount on job postings		25%	free
Link to your agency’s web site from the Land Trust Alliance web site		Yes	Yes
Access to LTAnet, the online library for land conservation	Yes	Yes	Yes
Discount on Erler’s LandSteward ™ (software for organizing and managing stewardship files)			$100
Number of $100 vouchers to a Land Conservation Leadership Program (LCLP) course of your choice		1	2

Questions about our Nonprofit Partnership Program?
Contact the Membership Coordinator at: membership@lta.org, or: (202)-638-4725 extension 331.

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