ALCDC

    ALCDC MEMBERSHIP

RENEWAL FORM

Oct. 2016-Sept. 2017

     _______ Individual Membership $25                                        

      _______ Organization membership $125

Yes, I want to support Arkansas Land and Community Development Corporation and its work to improve socioeconomic conditions for rural communities through land retention, family farms, youth, and community development. I have selected the best membership for me, and have enclosed my annual membership dues.

NAME: _________________________________________________________________

ADDRESS: _____________________________________________________________

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Email Address:________________________________________________

PHONE: ________________________________________________________________

Please return your application and dues to:

ALCDC Membership Program

P.O. Box 907

Brinkley, AR 72021

(Make checks payable to ALCDC Membership Program)

ALL CONTRIBUTIONS ARE TAX-DEDUCTIBLE.  THANK YOU FOR YOUR SUPPORT.

ALCDC programs and services are offered on a nondiscriminatory basis without regard to race,
color, national origin, religion, gender, or physical handicap.