O.F.C.G.J. Membership Application Form

Follow these 4 steps to membership:

Step 1: Print Out this Page
Press your browser's Print button to print out this form.
Step 2: Fill Out the Form
Fill out this form:
Name:
Address:
City:
State:
Zip:
Phone:
Email:
I am:   New Member____ or Renewing my Membership____
How did you hear about us?
Step 3: Write a Check
Please make your check or money order for $65 payable to: O.F.C.G.J. ($30 for fulltime students with photocopy of valid ID.)
Step 4: Mail Form and Check to Us
Enclose your check or money order with this form and send to:
Oregon Friends of C.G. Jung
811 NW 20th Avenue
Portland, OR 97209
You will receive your membership card by return mail. Please contact us with any questions or suggestions.

Aug. 2, 2006
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