Mail-in Donation Form

OABA Secretary
P.O. Box 12485
Salem, Oregon 97339

Your Name: __________________________________________________________

Your Company or Organization: __________________________________________

Your Address: ________________________________________________________

City____________________________________ State ____ Zip _______________

Your Donation Amount: $_________

Donation Category (Select one)
__ General Donation
__ Programs
__ Operation
__ Training
__ Participation Scholarship
__ Securing Office Space
__ Office Operation


I would like my donation to recur: (Circle) Yes  No

I would like to donate anonymously: (Circle) Yes  No

This donation is in honor of:  __________________________________________

This donation is in memory of: _________________________________________

How did you hear about us?: __________________________________________

I would like to be placed on your mailing list: Yes

I would like to be placed on your email list: Yes

Additional Areas of Interest: (Select one)
__ Volunteer
__ Committee Member

Your kind donation is greatly appreciated!

 

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