Join Western Mountains Alliance

YES! I want to be an engaged citizen and join leaders all across the region in a collaborative effort to shape
a more prosperous future for the western mountains of Maine.

Levels of Support:
	$25	Individual Supporter
	$50	Family Supporter
	$100 – $249	Small Businesses, Organizations and Associations
	$250 or more	Sustaining Contributor
	My company has a matching gifts program. (Please include the appropriate forms with your gift.)
	I have included WMA in my estate planning.
	Enclosed is my check for $______ payable to the Western Mountains Alliance.
Please write your name as it should appear in all WMA publications:

Mail to: Western Mountains Alliance 109A Church Street Church Street Commons P.O. Box 29 Farmington, ME 04938