Oregon Nordic Club - Willamette Chapter (Salem)  
Application / Membership Renewal Form  
Annual Individual or Family Membership fee is $20.00.  
Please make checks payable to Oregon Nordic Club  
Mail to: Oregon Nordic Club - Willamette Chapter  
 P.O. Box 181 Salem, OR 97308  
  
Name(s): ________________________________________________________  Contact information: same as last year __________ ,  
Only if there are changes fill in below  
Mailing Address: __________________________________________________  City/State/Zip: __________________________________________________  Phone (optional): home _____________________ _ _ , cell _____ _____________  E-mail address (optional): ___________________________________________  
Do you prefer receiving your newsletter by e-mail? Yes_____ No______  
You will enjoy faster delivery, colors other than black and white, and save the club mailing costs.  
I have selected “follow” on the website: Yes _____ No _____ . Those who do will receive notices  and updates when posted and will not receive a separate/additional email for newsletters.  
I hereby release the Oregon Nordic Club (ONC) from any liability for any injury to myself or my family  which may occur while participating in any club activity. I realize that there are risks in the  participation of this outdoor sport, and that some risks are unforeseeable. I freely give this release  with full knowledge that this is a hazardous activity.