Print the following application and mail it, with check payable to RACC, to:
RACC P.O. Box 564 Lexington, VA 24450
I/We want to support the Rockbridge Area Conservation Council's program for promoting wise stewardship of our natural and cultural resources.
| $10 Student | $250 - $499 Benefactor |
| $25 Individual Member | $500 - $999 Conservator |
| $35 Family Member | $1000+ Visionary |
| $50-99 Sustaining Member | Other Amount |
| $100 - 249 Patron | Other Amount or In-Kind Contribution: |
Name(s): ________________________________________________________________________
Address: ________________________________________________________________________
________________________________________________________________________
Phone: _____________________________ E-mail: ______________________________________
Endowment Gift: __________________________________________________________________
This gift is (circle one) in honor/memory of: _____________________________________________
May we mention this in the newsletter? ___Yes ___No
Uppdated 2007 April