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Mail-in Membership Form
Use this form if you prefer to send your membership or donation by mail or fax.
It's easiest to use our secure online donation page to become a member, renew your membership, or make a donation to Oregon Wild. However, if you prefer to send your donation by mail or fax, please print this page and fill in the information below. If you have any questions, just e-mail us at membership@oregonwild.org or call 503-283-6343 x213.
Yes, I'd like to contribute to Oregon Wild at the following level:
___ $500
___ $250
___ $100
___ $50
___ $35 (standard membership level)
___ Other $_____
I'd like to join the Evergreen Society:
___ I want to save paper by becoming an Oregon Wild Evergreen Society member with a gift of: $______ monthly ($10 minimum) or $______ quarterly ($30 minimum)
___ I authorize my bank to send my contribution electronically to Oregon Wild via my checking account.* (I have enclosed a voided check or deposit slip with my account number to get started.) *This is the most cost-effective option for us.
-OR-
___ Please charge my credit card. (I have filled in my credit card information below.)
Your donation will be transferred around the tenth of each month and will appear on your bank or credit card statement. Our Guarantee: You may change or discontinue your Evergreen Society membership at any time by contacting our membership staff at 503-283-6343 ext. 213 or membership@oregonwild.org.
Payment Method:
___ Credit card
Visa or MasterCard number _________/________/_________/__________
Expiration date ____________
Signature _______________________________________________________
-OR-
___ Check (made payable to Oregon Wild)
Contact Information:
Name ___________________________________________________________
Address _________________________________________________________
City ______________________ State _____________ Zip ______________
Phone: Home ______________________ Work_______________________
E-mail address ____________________________________________________
Comments _______________________________________________________
____ Occasionally we trade names with other non-profit organizations. Please check here if you do not want your name included.
Please mail this form to Oregon Wild, 5825 N. Greeley Avenue, Portland, Oregon, 97217, or fax it to 503-283-0756. THANK YOU.