Member Information Form Name of Land Trust* Year Created / Formed* Mission Statement*Please list the counties you focus on (or indicate “statewide” if applicable)*Number of Fee Title Acres ProtectedNumber of Conservation Easement Acres ProtectedWebsite* Facebook Twitter/X Instagram LinkedIn TikTok YouTube/Vimeo Logo*Max. file size: 100 MB.Post Image*Max. file size: 100 MB.By uploading photo, CCLT is granted permission to use on websitePhoto Credit* PhoneThis field is for validation purposes and should be left unchanged. Δ