Membership Form

Become a member today.

As a member of the Waukesha County Land Conservancy, you are helping to ensure that the county's most irreplaceable natural areas are protected today and for generations to come.
Name*

First NameLast Name
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Is this a Gift Membership?

YesNo
Gift Recipient Name

First NameLast Name
Gift Recipient Email
example@example.com
Gift Recipient Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Message to Include from Sender to Recipient:
*Environmentally Friendly Option: Check this box if you would like to receive membership materials electronically.

Yes! Save paper and send my membership card electronically via email.
Membership Levels
Friend: $50
Supporter: $100
Steward: $250
Conservation Hero: $500
Benefactor: $1,000
Visionary: $2,500
Legacy: $5,000
Membership Commitment

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Become a member today.