Name __________________________________________________

Affiliation __________________________________________________

Address __________________________________________________

City ________________________ State _____ Zip ____________

Phone ____________________ Fax ___________________________

Email __________________________________________________

New Sponsor
Renewing Sponsor

Partnership Categories:

Green Leaf Partner ($70 per calendar year)
Bronze Leaf Partner ($100 per calendar year)
Silver Leaf Partner ($500 per calendar year)
Gold Leaf Partner ($1000 per calendar year)
 

Please indicate partnership preference above. Send check or purchase order payable to Oregon Community Trees to: