Call to Action—Northwest Oregon

Name______________________________________________________________
Street Address_______________________________________________________
City____________________________ State_____________ Zip Code__________
E-mail_____________________________________________________________
For more information, contact Al Nissila at 503-460-3455, ctaportor@prodigy.net, www.cta-nw-oregon.com

Annual CTA-Northwest Oregon Membership (Check one)
_____$25 per household (Make checks to CTA-Northwest Oregon)***
_____Donation to CTA-Northwest Oregon $100 ___$50 ___$25 ____Other_____
_____I am unable to join or contribute at this time by please add me to your e-mail list

Please print and mail with your check to:

CTA Northwest Oregon, Treasurer
Marietta Schlumpf
2760 SW 175th Ave.
Aloha, OR  97006