RiversWest Small Craft Center
Please print and mail this form
( ) New Member	( ) Change of information.
( ) Renewing Member	( ) Additional donation
Name: _____________________________
Address: _______________________ Apt #: _____
City, St. Zip: _______________________________
Phone #: _______________
Email Address: _____________________________
Area of interest (optional): ___________________________ ________________________________________________ ________________________________________________

Membership Categories	Annual Dues
General Membership	$50.00
Youth Membership (under 18)	$30.00

Please send you membership dues to:  

RiversWest Small Craft Center
PO Box 82686
Portland, OR 97282