Membership Form
   
   
     
  Oregon Lakes Association membership form  
     
  REGISTRATION INFORMATION  
     
 
First Name
 Last Name
 
  Affiliation
  
  Address

  
 
City

 State
 Zip
 
 
Phone
Fax
e-mail
 
     
  REGISTRATION FEES AND PAYMENT INFORMATION  
     
  $    5.00 – Student
$  25.00 – Individual
$  30.00 – Family
$  35.00 – Lake or Homeowner Association
$  35.00 – Public or Nonprofit
$  65.00 – Corporate
$100.00 – Sustaining
  
     
  To submit, please print this form and mail it with your check written out to Oregon Lakes Association. Thanks for your support!  
 

 

  
  Oregon Lakes Association
PO Box 345
Portland OR 97207-0345