Donation Form

Membership in SEN is $35/ year and includes a subscription to the SEN Newsletter.


Enclosed is my tax-deductible check for:

____$35______$50______$100______$500______$1000______other $________

(Please note that if the following information is correct on your check, you do not have to fill it in below. Also, if you do not want to be thanked publicly in our newsletter, please check here ____ )

Name: ___________________________________________________________

Organization: _____________________________________________________

Address: _________________________________________________________

City: ________________________________State: ________Zip: ____________

Telephone: (home) ____________________(work) ________________________

Email address: ____________________________________________________

Web Address: ______________________________________________________

Mail to:

Sacred Earth Network
93A Glasheen Rd.
Petersham, MA 01366