Printable Donation Form Dennis Conservation Trust

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Mail-in Donation Form We want to know how to contact you. Please print this page and then fill in the blanks or, if more convenient, send us a note with the following information:

Name:____________________________________________________________

Address: _________________________________________________________

_________________________________________________________________

City: ___________________________ State: _______ Zip Code: ___________

Telephone: _______________________________________________________

Email: _______________________________________________________

	To support the Dennis Conservation Trust, I/we enclose a contribution of $__________.
	I/We would like to make a pledge of $ __________to the Capital Fund for Bass River Park purposes. I/We understand that payment may be made over a 3-year period and intend to fulfill this pledge by making annual payments of $ __________ .
	Enclosed is my first pledge payment of $ __________.
	I/We wish to make a gift of appreciated securities. Please contact me.

Please make checks payable to Dennis Conservation Trust and mail to the address below. The Trust is a 501(c)(3) non-profit organization. Our Federal Tax ID number is 22-2898846. Contributions are tax deductible under the Internal Revenue Code.

Mail this page to:
Dennis Conservation Trust
Post Office Box 67
East Dennis, MA 02641

We thank you for your support.
Years from now, when you and your future generations walk the natural paths and places of Dennis, take pride in knowing that your generosity helped preserve them.