Print this form and send with your membership
payment to:
OCCA/OCEAN, PO Box 1315, Newport, OR 97365.
Name: .
Address City: State: Zip: .
Phone: ( ) .
Please check the membership level you are joining at:
| Individual | $30 - $100 | |
| Organizations | $50 - $100 | |
| Chambers of Commerce | $100 | |
| Coastal Towns | $250 - $500 | |
| Coastal County | up to $1500 |
Membership Paid: $ . Additional OCEAN donation: $ .
Total Amount Enclosed: $ .
Thank You for your support of the arts on the
Oregon coast.
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