____ Senior/Student Membership $10.00
____ Individual Membership $15.00
____ Family Membership $25.00
____ Business Membership $50.00
____ Sustaining Membership $250.00
____ Lifetime Membership $1,000.00
____ Additional Contribution $______
Name _______________________________________
Address _____________________________________
Phone _______________________________________
E-mail _______________________________________
Oxford Land Trust
P. O. Box 616
Oxford, CT 06478