Massachusetts
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Conservation Trust and Urban Parks Trust Fund Contribution Form
Universal Access Program
I want to sustain and preserve universal access to Massachusetts State Parks, Forests, and Reservations.
Enclosed is my investment of:
$25 $50 $100 $250 $500 $1,000 $5,000 Other $
How did you hear about the Universal Access Program?
How often do you visit a Park, Facility, or Universal Access Program event?
While visiting, which activities do you most enjoy (if applicable)?
Name:
Address:
Street City / Town State Zip
Email: Mobile Phone: Daytime Phone:
Please indicate if your gift is in memory or honor of someone. Name of Person:
If you want someone to be notified of this donation, please include their name, email address, and mailing address:
Name: Email:
Address:
Street City / Town State Zip
Please check the box if you do NOT want to be recognized for your donation in any publicity. Names only would be listed.
Please make checks payable to: Commonwealth of Massachusetts
Mail to: Universal Access Program
Department of Conservation and Recreation
PO Box 484 | Amherst, MA 01004
Contributions are tax-deductible to the extent provided by law.
DCR Accepts Gifts of Land, Wills, Bequests
The Conservation Trust and Urban Parks Trust Funds accept gifts of property or conservation restrictions (development rights) on property. In many
cases, landowners can realize significant tax advantages by donating to DCR. Please consider your favorite Massachusetts State Park in your estate
planning, or invest with recognition in a loved one’s name. For more information, visit: https://www.mass.gov/how-to/how-to-donate
Check Date: Check Number:
