Online Payment Membership Form

Online Membership Payment Form

Kokanee Power of Oregon Annual Membership Application

OREGON FISHERIES ENHANCEMENT FOUNDATION INC. MEMBERSHIP

3002 NE Glacier Way, Corvallis OR 97330 | 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. Enter the cash value of your donation. No need to mail it in. Thanks.

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 - Use Mail in form for Donations)

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

Enter Cash Donation Amount