HSCO Membership Form
How to join the Human Services Coalition of Oregon
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Levels of Support *
Organization Name *
Contact Name *
Address *
City, State, Zip *
Email for Main Contact *
Phone *
How do you plan to pay your dues? *
Is there another contact that we should email future invoices to? ( Answer No and we will email invoices to the main contact above.  If there is another contact, please provide name and email) *
Are there other members of your organization you would like added to our mailing list? Please provide email addresses. *
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