University of Oregon
Rentals
 
*Name:
Second Name:
*Address:
*City:
*State:
*Zip:
*Email:
*Phone:

*Choose Level:
Check here if you would like to decline all but the basic benefits.:

*Are you a senior citizen?:
The JSMA offers senior citizens a 10% discount on their membership. (Limited to one discount per membership)

*Are you an educator?:
The JSMA offers educators a $20 discount on memberships at $45 level only. (Limited to one discount per membership)

*Do you have an employer who will match your gift?:
Company name:

In addition to my membership gift, I would like to make a fully tax-deductible donation to the JSMA's Annual Fund in the amount of....
Dollar amount:
Comments: