breakneckfarm

Become a Supporter
...helping people shape the future of western Maine.

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.

.Justgive

Or please print the form below and mail it with your check to the Alliance.

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

Click here for a print friendly version of this form

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:

 

The Western Mountains Alliance (WMA) is an advocate for change, promoting new and cooperative ways of solving problems throughout Oxford, Franklin, northern Androscoggin, Somerset, and Piscataquis counties.   WMA benefits from the involvement and generosity of its members throughout the five-county region served.


 


Western Mountains Alliance
. 109A Church Street, Church Street Commons . P.O. Box 29 Farmington, ME 04938
(207)778-3885
. Fax-(207)778-5095 . info@westernmountainsalliance.org