2018 Chapter Dues Statement
Membership fees are due by December 15, 2017, for the 2018 calendar year.

Three easy ways to pay:

1. Online using Paypal/Credit Card via this link: https://goo.gl/u5n2Ho. Then fill the rest of this form and hit "Submit".

2. By mail: Make check payable to WCMGA, and send to:
Treasurer, Ruth Robinson 6970 SW Arranmore Way, Portland, OR 97223. If you have done this, then please fill the rest of this form and hit "Submit".

3. In person: At the November & December chapter meetings, by cash, check, or credit card.

Name: *
Your answer
Year You Took Training *
Your answer
MG Status (see note 2 below) *
Photo Permission (see note 1 below): *
Required
Payment Information
Payment can be made in person (cash, check, or credit card), by check through the mail, or online via Paypal.
How have you paid? *
Amount Paid: *
Required
Additional Voluntary Contribution Amount (Thank you!)
Directory Information
As a chapter member, your name/address/telephone/email address will be entered into the WCMGA directory which is updated yearly, and provided to all chapter members.
My Contact Info in the WCMGA directory listing is: *
Required
Contact Information
Skip this portion if your address/email/phone number have not changed
New Address/City/Zip
Your answer
New Phone Number
Your answer
New Alternate Phone Number
Your answer
New Email
Your answer
Notes
1. Photo permission is to use photos of me taken at regular or special MG events through video, photo and digital camera, to be used solely for the purposes of Washington County Master Gardener Association promotional printed and internet materials, and I waive any rights of compensation or ownership thereto.
2. An Active MG is recertified and can work with clients. An Associate MG is not recertified, but can participate in support roles.
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