Great Point Circle Membership Form

Thank you in advance for your generous support of The Trustees' Coskata-Coatue Wildlife Refuge. Your membership supports ongoing efforts to care for this remarkable natural resource and ensure that it remains a place a beauty, solace, inspiration, and fun for our children and future generations.

Questions? Please contact our Development Office.

Phone: 978.921.1944 x8817

View our privacy policy and security information.

Choose Your Donation Level

$1,000 – Great Point Circle Supporter
$2,500 – Keeper of the Point
Other Amount

$1,000 minimum

Employer Matching

Does your employer match charitable donations? If so, enter the name of your employer below. If you are unsure, be sure to check with your company's HR department for more information or to encourage them to offer a matching program.

OSV Permits

Great Point Circle members are eligible to receive up to two (2) Over Sand Vehicle Permits. If you accept the permit(s), the tax-deductible portion of your donation will be reduced by $60 per permit.

One OSV Permit (Reduces tax deduction by $60)

Two OSV Permits (Reduces tax deduction by $120)

I do not want any OSV Permits

Lighthouse Celebration – August 25, 2016

Great Point Circle members are invited to the Annual Lighthouse Celebration. The value of these tickets ($100 each) is not tax-deductible. Great Point Circle supporters receive two (2) complimentary tickets, and Keepers of the Point receive up to four (4). If you wish to waive this benefit, and forego an invitation to our event please uncheck below.

Yes, I would like to receive 2 tickets to the Lighthouse Celebration. (Reduces tax deduction by $200)

I do not want to receive any Lighthouse Celebration tickets.

Member Information


First Name:

Last Name:

Joint Member First Name: (Optional)

Joint Member Last Lame: (Optional)

Your Member Number:

Find your membership number above your address on the label on your Special Places magazine.

Email Address

We require an email address in case we need to contact you regarding your gift. We will never distribute your contact information to any third party.

Your Email Address:

Yes, send me communications from The Trustees
Remember me?

Billing Address

Street Address:

Street Address 2:



ZIP/Postal Code:


Credit Card Information

Credit Card Number:

CVV Number:

(What is this?)

Expiration Date:

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