Online Payment Membership Form

Online Membership Payment Form

Kokanee Power of Oregon Annual Membership Application

OREGON FISHERIES ENHANCEMENT FOUNDATION INC. MEMBERSHIP

3306 Antigua Ln SE Salem, OR 97371 | www.kokaneepoweroregon.com

Please select the appropriate membership. *

New Membership

Renewal Membership

Date

Member's Name *

Business Name

Spouse's Name

Junior's Name #1

Junior’s Birthdate

Month #1

Day #1

Year #1

Junior's Name #2

Junior’s Birthdate

Month #2

Day #2

Year #2

Please provide the name(s) and birthdate(s) for any additional children under 18

Address *

Country

City

State

Zip code

Email *

Phone

Mobile

Membership Year *

Please choose your membership level.

Choose a Membership Level *

If making a tackle or merchandise donation to the raffle please use the mail in membership form. Thank you.

Individual Membership | $35.00

Family Membership | $50.00 - Member, Spouse, and children under 18yrs.

Business Membership | $100.00 - ($100 or greater Raffle Donation covers fee)

Lifetime Membership | $500.00 Minimum Donation Required. Enter amount below.

Enter Cash Donation Amount

Sticker Request

If you would like KPO Membership stickers check the box. If not we will not send them. New memberships will get them automatically.

Yes

Captcha *

For security verification, please enter any random two digit number. For example: 59