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Become a member of East New York Community Land Trust!
Please join our organization!!
Monthly and annual payments are equivalent:
Option 1: $5 monthly or $60 annually
Option 2: $10 monthly or $120 annually
Option 3: $20 monthly or $240 annually
Option 4: $40 monthly or $480 annually
Membership
*
Monthly (Option 1)
-
$ 5.00
Monthly (Option 2)
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$ 10.00
Monthly (Option 3)
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$ 20.00
Monthly (Option 4)
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$ 40.00
Annual (Option 1)
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$ 60.00
Annual (Option 2)
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$ 120.00
Annual (Option 3)
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$ 240.00
Annual (Option 4)
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$ 480.00
Membership will renew automatically.
Total Amount
Donor Name and Address
First Name
*
Last Name
*
Street Address
*
City
*
State
*
- select State/Province -
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
United States Minor Outlying Islands
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
*
Phone (Mobile)
*
Email
*
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