Join us!

Enclosed is my
Membership support of:

___ Gold Leaf, $1,000

___ Silver Leaf, $500

___ Bronze Leaf, $250

___ Green Leaf, $100

___ Regular, $40

___ Student, $15

___ Other $____

Membership Application
Enclosed is an additional contribution in the amount of $_______ in support of the Massachusetts Chapter's  activities.

Name:  ________________________________________________

Address:  _______________________________________________

City/State/Zip:  __________________________________________

Telephone:  _____________ E-Mail: _________________________

__ This is a gift membership from: ____________________________
                                       address: ____________________________
Membership includes subscriptions to The Bark and The Journal of the American Chestnut
Foundation  and enrollment in the Massachusetts Chapter.  Please make check payable to The American Chestnut Foundation, P.O. Box 4044, Bennington, VT 05201-4044. TACF is a 501(c)(3) non-profit organization.  Except for the member services portion of your contribution (valued at $15), your gift is tax deductible to the full extent allowed by law.