Join the Friends of Timberline |
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Print this form and mail it to: Friends of Timberline PO Box 69544 Portland, OR 97239 |
| Member(s) Info | |
| Name: | |
| Address: | |
| City: | State: Zip Code: |
| E-mail Address: | |
| Payment Info | |
| Check enclosed | |
| Credit Card (sorry no Discover card) | |
| Card # Exp Date | |
| Name on Card: | |
| Cardholder Signature: | |
| My company will match my contribution | |
| Company name: | |