HSCO Membership Form
How to join the Human Services Coalition of Oregon
Levels of Support *
Required
Organization Name *
Your answer
Contact Name *
Your answer
Address *
Your answer
City, State, Zip *
Your answer
Email for Main Contact *
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Phone *
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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) *
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Are there other members of your organization you would like added to our mailing list? Please provide email addresses. *
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