Membership / Donation Form

Thank you very much for supporting the WPC! Our work is only possible with the support of our members and generous donors.

Point of information: we will not share or sell your contact information with anyone.
First Name
Last Name
Organization
Address
City/State
Zip Code
Email
Phone    
   

Membership Level

Senior/Student: $15 Individual:  $35 Family: $60
Treading Lightly ($5 minimum): $

Business Membership Level
Bronze: $150 Silver: $250 Gold: $500
Platinum: $1000 Other Amount $

Donation Amount
$20 $35 $50
$100 $250 $500

Charge my card for this amount each month for 12 months.

 

 

 

If you have any questions, please contact Stephanie Routh, 503-223-1597.

The Willamette Pedestrian Coalition's Tax ID number is 93-1078749.