Please fill out this form and submit it. 

Make Checks Payable to: 

Portland Trails
305 Commercial Street
Portland, ME 04101 

Name______________________________________________

Address___________________________________________

City________________________State_____Zip_________

Telephone_________________________________________

Email_____________________________________________

Credit Card Number _______________________________
(Mastercard or Visa)

Expiration Date____/____/_____
===============================================================

I would like to support Portland Trails at the following level:

( ) $50 Family 

( ) $35 Individual

( ) $10 Student

( ) $10 Senior