Membership Checkout – Oregon Mycological Society

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Membership Information

You have selected the Individual membership level.

Individual membership is for one person.

The price for membership is $30.00 now and then $20.00 per Year.

Do you have a discount code?

Account Information

Username

Password

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First Name

Last Name

Email Address

Confirm Email Address

Full Name LEAVE THIS BLANK

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Membership roster opt out

Hide from Member Roster?

Privacy option to exclude your name and contact information from the Member Roster, which is viewable by other OMS members.

Phone Numbers

Cell Phone

Home Phone

Would you like to set up automatic renewals?

Yes, renew at $20.00 per Year.

Billing Address

First Name

Last Name

Address 1

Address 2

City

State

Postal Code

Country

Phone

Payment Information

Card Number

Expiration Date

CVC

Discount Code

I agree to the Membership Waiver

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Oregon Mycological Society