Oregon State Chamber of Commerce
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The Oregon State Chamber of Commerce would like to thank the following sponsors:

   
 
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Congratulations on making a most prudent investment in your organization. You are joining forces with an active, positive, energetic association of business and community leaders dedicated to improving the quality of life in Oregon.

Chamber Name

Street Address / City / Zip



Mailing Address / City / Zip



Phone Number

Fax Number

E-mail Address

Home Page Address (URL)

Number of Chamber Members

Principal Representative / Title

Mr.
Mrs.
Ms.



Amount of Annual Investment:
Dues calculated at 75¢ per member. $100 minimum investment.
Check

I'll be paying by check and will be sending the check to the address provided below. I understand that my application will not be processed until my payment has been received by the Oregon State Chamber of Commerce.

Oregon State Chamber of Commerce
c/o Eugene Area Chamber of Commerce
1401 Willamette Street
PO Box 1107
Eugene, OR 97401

Credit Card (Non-Secure) / Name / Account Number / Exp. Date

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Visa
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American Express



Checking this box is the equivalent to my signature for processing my credit card.

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