Membership Application
Payment & Confirmation

PAYPAL OPTION

Now you must pay for your membership in one of 2 ways.  The simplest way is to use Paypal, a secure online payment processor that can accept various credit cards.

Click Button to make your payment ($15.00 + 75cent + 3% convenience fees for Paypal - this fee will appear as "Shipping")

MAIL OPTION

Mail $15 dues with a copy of this confirmation page to:
Oregon Bears - Membership Payment
818 SW 3rd Ave., PMB #1153
Portland OR 97204

Membership payment MUST be received within 2 weeks of submitting your form or it will considered VOID.
CONFIRMATION:  Here is your submitted information.  
PLEASE PRINT for your records:
  
Name:   Name
Address:   Address
City:   City
State:   State
ZIP:   ZIP
Publish Name:   PublishName
Do Not Print (ON=selected):   DoNotPrint
Birthdate:   Birthdate
Best Way To Contact:   BestWayToContact
Phone:   Phone
Email:   Email
Website:   Website
How to get your Newsletter:   HowtogetNewsletter
Voluntary Directory (ON=selected):   voluntarydirectory
Website Directory (ON=selected):   websitedirectory
Areas of Interest:   areasofinterest
Volunteer (ON=selected):   Volunteer
Volunteer Interests:   volunteerinterests
Member Card Nickname:   mbrcardnickname
Your Initials indicating agreement: Member_Initials
New or Renewal:   New_or_Renewal
Payment Method Intended:   PaymentMethod


Thanks again for your membership!  Click here to go back to the home page.