Zen Community of Oregon - Membership Declaration

First Name: Last Name:

Gender:      

Home address:

Phone:

e-mail address:

I primarily practice at:


I pledge to contribute - $ per month
Please contribute at least $35 monthly, and consider giving more if you are able. Those who live too far away from Portland to frequently participate in the offerings at the PDC and the monastery; please conribute $20 per-month. If you are unable to make dues payments of this amount, please contact our membership contact to discuss alternative payment options.

I will be paying dues by:



I would like my dues payments to begin on: / /

I have read and understand the membership information on this page, and agree to pay monthly dues in the amount I have indicated.

            

Thank you for joining our community!

Zen Community of Oregon
P.O. Box 368
Clatskanie, OR 97016
(503) 728-0654
Email: info@zendust.org

©2006 Zen Community of Oregon
Site by Michelle Bagley
Updated: May 1, 2007