Directions:  Please print out form, complete the information requested and send to address listed below. 

YES, I want to continue to support the preservation work of the

              BAY LAND TRUST, INC.

        Name:__________________________________________________________

        Address:_________________________________________________________

        Telephone:___________________________  E-mail:_______________________

        Amount of contribution:

        ¨$500      ¨$100      ¨$50     ¨Other ______________________

        Method of Payment:    ¨ Cash/Check    ¨ Interested in donating stock

        ¨ My workplace has a matching grant program.  (Please send form)

        ¨ I am interested in becoming a volunteer.

        Please make checks payable to Bay Land Trust, Inc., P.O. Box 4096, Annapolis, MD 21403

       Your contribution is tax deductible.

       Thank you for supporting Bay Land Trust!