Membership Application



**please print out this form, complete it, and mail to the address below**

Company Name_______________________________________________________

Address_________________________________________________________________________________
City_________________________________________State_____________________Zip_______________
Telephone____________________Representative_______________________________________________

FAX____________________________________________E-mail____________________________________

Associate Members:  Products or Services______________________________________________________

Check One:  Voting Membership
         Associate Membership

Sponsor (if any)______________________________________________________________

Voting Member:        Dues of $125.00 are payable for fiscal year Jan. 1 to Jan. 1

Associate Member:        Dues of $75.00 are payable for fiscal year Jan. 1 to Jan. 1

Payment Enclosed

Mail To:

23586 NW St. Helens Road ·  Portland, Oregon  ·  97231