printable membership form

Native Plant Society of Oregon

Print & Mail Membership Form

Please print & mail completed form
with full remittance to the address
at the bottom of this page.

NOTE: you must print and mail the form; this is not an online membership renewal form.

Monthly Bulletin
Kalmiopsis when published

Membership is for the calendar year. New memberships enrolled after July 1 include the following year.

New

Renewal

Student - $12

Regular - $18

Family - $24

Sustaining - $50

Patron - $100

Life Membership - $500

	Subscription Only (Bulletin & Kalmiopsis) - $18 [For those who wish to subscribe but do not wish to have full membership status.]
	Current NPSO Membership Directory - $3

Contributions
Jean Davis Memorial Scholarship Fund	$______________
Leighton Ho Memorial Field Botany Award Fund	$______________
Rare & Endangered Plant Fund	$______________
Friends of the Oregon Flora Project	$______________
Contributions to NPSO are tax deductible.

Name_______________________________________________________________________________

Address_____________________________________________________________________________

City______________________________________ State_________ Zip_________________________

Phone____________________________________ Email_____________________________________

Chapter (if known)____________________________________________________________________

Mail form with your dues and/or contributions to:

Clayton Gautier, NPSO Membership Chair
3927 Shasta View Street
Eugene OR 97405-4442

Please make checks payable to NATIVE PLANT SOCIETY OF OREGON