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Coos Bay Surfrider Membership
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Last Name
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Street Address
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City
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Zip
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Email
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Phone Number
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I am supporting the Surfrider Foundation with my tax deductible donation of:
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Would you like to go paperless for your membership?
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Do you want a Surfrider reusable shopping bag?
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No - Please donate my member reusable shopping bag to Oregon Coast Community Action
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