Rural Preservation Company Registration

To pay by check fill out this form and send in with payment.

To pay by credit card fill out the info below and click on process payment

Organizational Name*
Contact Email*
Contact Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Freshy Test*
Do you need to test payment processing?
- Yes, apply a $1 charge to this submission.
- No, remove all fees from this submission.
Membership Options
Memberships*
- 1 - 3 Staff ($400)
- 4 - 7 Staff ($550)
- 8 - 12 Staff ($800)
- 13 - 20 Staff ($1050)
Payment Processing Test*
Price:
Member Information

List Member Information

Name	Email	Job Title	Actions

There are no Entries.

Add or Remove lines by using the Add Entry and Delete buttons.

One line for each member in membership selected.

Thriving rural communities in New York. It’s possible!

Membership Options