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Pines and Prairies Land Trust PO Box 737 1018 Main Street, Suite B Bastrop, TX 78602 512-308-1911

The mission of Pines and Prairies Land Trust is to protect natural and cultural resources and promote sustainable agriculture through education and preservation of open space in Central Texas.

Board of Directors Candidate Application Date ______________________________ Name

___________________________________________________________ First MI Last Nickname

Residence Address ________________________________________________________________ Phone ______________________________

E-mail ________________________

Employer Name ___________________________________________________________________ Your title _______ _________________________________________________________ Address ______ ___________________________________________________________ Phone ______________________________

E-mail ________________________

Type of business or organization _____________________________________________ Primary service(s) and area/population served ___________________________________ Preferred method of contact

( ) Work

( ) Residence

PPLT board member that is recommending you, if applicable ____________________________ Typically, the PPLT board meets once quarterly and board members are expected to be involved

PPLT potential board member application 2017  
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