□ □ □ □ □ □ Business Name: □ I would like to pay by check. □ I would like to pay by credit card. □Visa □ MC □AmEx □ Discover Card Number Name on Card Expiration ___________ CVV _____________ Zip Code ___________ Signature_________________________________ Date ____________ NANTUCKET PRESERVATION Trust PO Box 158 Nantucket, MA 02554 www. nantucketpreservation.org