Oregon Chapter Legislative Fund Contribution

I am pledging (check one) $25 _____, $30 _____, $50 _____, $100 _____, Other $______ .  

To pay by credit card visit: http://www.acteva.com/go/nasworegon  

Other payment options: Please bill me for $_____. 

I have enclosed a check for $_____. 

Name: _________________________________ Phone (H) ___________(W) _________

Address including City/State: ___________________________________ Zip:_________

E-mail: _________________________________________ Date: __________________

Thank you! Please make checks payable to: NASW.

Mail to Oregon Chapter, NASW – 7688 SW Capitol Hwy. Portland, OR 97219

(503) 452-8420 E-mail: nasw@nasworegon.org

TAX NOTE: Changes in the IRS tax code no longer allow contributions for lobbying to be deducted as a business expense.