Green Horizon Land Trust Membership Form

A Unique Opportunty to make a difference in
the Quality of Life for future generations!

Two ways to make a donation: Click the Secure PayPal Donate Button below. The PayPal form will have a place for your address.  Or fill out the form below, click submit, and mail in a check.

Your tax-deductible donation includes membership. 100% of your donation goes to Green Horizon's preservation efforts in local land conservation.
YOUR NAME:

ADDRESS:

CITY, STATE, ZIP CODE:

EMAIL ADDRESS:

PHONE NUMBER:

Business Website URL:
Thank You!
You will receive a receipt by mail.
Please Mail Your Donation to:
Green Horizon Land Trust, Inc.
P.O. Box 2445
Lake Wales, FL 33859-2445

Or stop by and meet us at our office
located at 225 E. Stuart, Lake Wales
Phone: (863) 678-1237
Email: GreenHorizonLTrust@yahoo.com
OR TO MAIL A DONATION CHECK:
Fill out the following form and click the 'submit button.
Then MAIL your donation to the address listed below.


Florida Dept. of Agriculture & Consumer Services solicitation number:  CH-00873

100% of contributions are retained by
Green Horizon Land Trust, Inc.
$1,000  Bald Eagle Patron        
  $500  Gopher Tortoise Club
  $250  Blazing Star Society
  $100  Cabbage Palm Club
    $75  Scrub Jay Friends
    $40  Longleaf Pine League
    $25  Bobwhite Quail Circle