Solano Land Trust

Please print and complete this form and return it with your gift.

Make checks payable to:
Solano Land Trust
1001 Texas St. Suite C
Fairfield, CA 94533

Levels of support:
__ $30 | __ $50 | __ $100 | __ $250 | __ $500 | __ $1000 | __ Other:

Credit Card Information

Name on Card:
Card Type:	(Visa / Mastercard)
CC Number:
Exp Date:	/ (MM/YY)
__	I would like to keep this gift anonymous (Optional)
__	Memorial/Honorarium in the name of (Optional)

Personal Information

Title:		City
First Name:		State:
Last Name:		Zip:
Address Line 1:		Home Phone:
Address Line 2:		Work Phone:
Email:

Solano Land Trust does not sell or exchange the personal information of our contributors.

Your contribution is tax-deductible. If you have any questions, please contact Development Director Greg Peterson at greg@solanolandtrust.org or (707) 432-0150 x 205. Membership carries no voting rights.