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 $62.00 are payable for fiscal year Jan. 1 to Jan. 1

Payment Enclosed   



Mail To:
                                        P.O. Box 83926  ·  Portland, Oregon  ·  97283-0926