Centre County Farmland Trust Membership Application

Name________________________________________
Address______________________________________        
City________________ State_______ Zip___________
Email________________________________________

YES! I want to join The Centre  County Farmland Trust and help preserve farms:

Membership Levels
Student..........................$15.00
Member..........................$50.00
Supporting.....................$100.00
Sustaining......................$500.00
Stewardship..................$1000.00
Whole Farm...................$5000.00 (*)
Other...............................$______

(*) The administrative and legal costs can be up to $5000.00 to preserve a farm.

The Centre County Farmland Trust is a 501C non profit organization.

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Please print this form and return it, with your check, to:

Centre  County  Farmland Trust
Willlwbank  Building
420  Holmes  Street
Bellefonte,  PA  16823-1483

Checks should be made out to Centre County Farmland Trust