USC Citizens for Land Stewardship
Conservation and stewardship of land and natural resources in Upper St. Clair



Annual Membership Form


(Please print legibly)


Name(s):  __________________________________________________
  
Address:  __________________________________________________
  
  __________________________________________________
  
Phone:  __________________________________________________
  
E-mail:  __________________________________________________
  

___   Check here to learn more about volunteer opportunities with CLS.



Choose a membership level:

        ___   Individual $10
        ___   Family $15
        ___   Supporting $25
        ___   Sustaining $75
        ___   Benefactor $150


Please make your tax deductible check payable to “USCCLS”
and mail it along with this completed form to:

USC Citizens for Land Stewardship
Attention: Treasurer
P.O. Box 112561
Upper St. Clair, PA  15241-0161