Membership and Donation Options


Become a member or make a donation by completing and then
printing this form. Mail it with your payment to:

Columbia Grange #267
P.O. Box 299
Corbett OR 97019-0299

Name:
Address:
City, State, Zip:
Phone: ( Include area code)

E-Mail:


Current Member New Membership Donation

Donation Amount:
( Please contact us for details )

If you have any questions please contact Gary Simone,
at 503-695-6674

THANK YOU!