MEMBERSHIP APPLICATION

You can make equality a reality for women and girls in the United States and around the world. Payment of your dues will make you a  member of Central Oregon Coast NOW, Oregon NOW, and the National Organization for Women.

ONLINE APPLICATION.  Complete the form and pay  your annual dues via Paypal (Paying via Paypal is only available if paying Regular Dues of $40.  If paying  sliding-scale dues of $10 to $39 please mail in your dues with your application)

Buy Now Button  to pay dues via Paypal (membership will not start until dues are paid)

 

MAIL-IN APPLICATION (required if paying sliding-scale dues)

____________________________________________
First Name Last Name
____________________________________________
Street Address
____________________________________________
City State Zip
____________________________________________
Daytime Phone Evening Phone
____________________________________________
Email

Chapter:  OR0120 Central Oregon Coast NOW Chapter

Check all that apply:
 Regular Dues. $40 covers national, state and local
dues.

 Reduced Dues. Sliding scale available from $10-$39.

Amount enclosed: $______________
I want to make an additional contribution to NOW’s work
for equality and justice. Donation enclosed: $_________

Print and complete this form;  mail with your check payable to “Central Oregon Coast NOW” to the chapter address below:

Central Oregon Coast NOW, PO Box 114, Newport, OR 97365

If you have questions, email:  centraloregoncoastnow@gmail.com

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