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Membership Benefits:

 

□  $1000 Androscoggin Society Name:____________________________________
□  $500 Conservationist Mailing Address:___________________________
□  $250 Protector _________________________________________
□  $100 Steward City, State, Zip:_____________________________
□  $60 Supporter Phone Number:_____________________________
□  $30 Friend Email Address:_____________________________
□  $15 Student/Senior  
□  Other______________________________________________ Please print this form and mail your check to:
□  Please do not publish my name with your list of contributors. LA Trails
  P.O. Box 3145
  Auburn, Maine 04212-3145

 

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