Coos Bay Surfrider Membership
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First Name *
Last Name *
Street Address
Zip *
Email *
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I am supporting the Surfrider Foundation with my tax deductible donation of: *
I am a
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Would you like to go paperless for your membership? *
Do you want a Surfrider reusable shopping bag? *
After hitting Submit, you'll be taken to a link to pay your dues.
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