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Membership

New Membership Application

The Jefferson Center is a non-profit corporation under section 501(c)(3) of the Internal Revenue Code. All donations to The Center are tax-deductible.

Dues are used to support the programs of The Jefferson Center and to share our vision of a more tolerant, thoughtful, and secular world.

To join—and receive full membership benefits in The Jefferson Center—just print out this page and fill out the form below. The link at the bottom takes you to a printer-friendly version.

Single person:
□ $60 payable in December for the next year.
□ OR if you join mid-year, pay the pro-rated amount per start of the next month.

Family:
□ $100 payable in December for the next year.
□ OR if you join mid-year, pay the pro-rated amount per start of the next month.

Donation: $____________

Total Enclosed: $____________

[Please print]
Name __________________________________________________________

Address ________________________________________________________

City __________________________________State ______ Zip ____________

Day Phone (________)__________________________

E-mail _______________________________________

Desired website account name _______________________________________

Make check payable to The Jefferson Center.
Mail printed form and check to: Jefferson Center Membership, 208 Oak Street, Suite 101, Ashland OR 97520