RiversWest

Please print and mail this form

( ) New Member                               ( ) Change of information.

( )  Renewing Member                       ( ) Additional donation

Name: _____________________________

Address: _______________________ Apt #: _____

City, St. Zip: _______________________________

Phone #: _______________

Email Address: _____________________________

Area of interest (optional): ___________________________

________________________________________________

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Membership Categories Annual Dues  
General Membership $50.00
Youth Membership (under 18) $30.00
Senior Membership (over 64) $30.00

Dues and donations to RiversWest qualifiy for a tax deduction.  Ask your tax advisor.

         

Please send you membership dues to:  

RiversWest Small Craft Center
PO Box 82686
Portland, OR 97282