Membership Form – NPM, Portland Oregon Chapter

Name *

Title (if any), first name, middle initial (optional), last name, suffix or order (if any).

Email *

Alt Email

Address

Address Line 1

Address Line 2

City

State

Zip Code

Cell Phone

Alt Phone

Principal Parish/School/Org Where You Serve

City and State Where You Serve

Service Role

Choir leader, choir member, accompanist, liturgist, etc.

Other Organizations You Serve

If you work for more than one organization, please list others here.

Skills and Interests

Please select all that apply

Other Instruments

Other Skills/Interests

Ministry Languages

English, Spanish, Vietnamese, etc.

What types of programming/workshops are you interested in attending?

Supporting Our NPM Chapter *

Please add me to the email list but I am unable to make a contribution at this time
Individual member contribution ($35/yr)
Parish/org contribution ($100/yr)
I would like to donate a different amount

Please go to the online donations page to make your payment, or mail a check to: NPM Portland Oregon Chapter, Attn: Agnes Zueger, Chapter Director, 16380 SW Woodcrest Ave, Tigard, Oregon 97224

Are You A Member of NPM National?

Yes
No

Note that membership in the local chapter is separate from membership in the national organization. NPM national provides additional benefits to members, and local members are encouraged to join.