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Best Friend Form

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Thank you for your support! Please print out this form and mail or fax it to:

Friends of the Columbia Gorge
522 SW Fifth Avenue, Ste 720
Portland, OR 97204
503/ 241-3873 (fax)

Monthly $
Quarterly $

I would like to use my bank account*  credit card to make my contributions.

Please start my electronic contributions on this date:

*To make your contribution through your bank account please send a voided check with your signature and the amount you would like to give monthly or quarterly to Friends' main office at the address below.

First Name*  
Last Name*  
First Name 2  
Last Name 2  
Street Address*  
City*  
State*  
Zip code*  
Home phone  
email * 
type of credit card*
Visa  Mastercard
credit card number*  
expiration date* 

Friends of the Columbia Gorge occasionally shares their membership list with like-minded organizations. If you do not wish to have your name shared, please check here.

* Field labels in bold  are required information.



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