YES!! I want to be a part of the Longleaf Alliance and help keep this forest type as part of the southern landscape. Please mail my newsletters and other communications to:

Name :

Mailing Address :

City : State :

Zip :

Daytime Phone Evening Phone

Fax Number e-mail

Suggested Annual Contribution Levels:

Individual

Contributor _______________($35)

Backer__________________($100)

Proponent_______________($500)

Advocate_______________($1,000)

Other: $

Consultant

Contributor _______________($150)

Proponent________________($500)

Advocate________________($1,000)

Other:

Non-Profit/Agency/Industry

Contributor _______________($500)

Advocate________________($1,000)

Champion________________($5,000)

Donor*: