Read Across Oregon 2008
Sign Up Form

Please provide the following contact information:

Name
Street Address
Address (cont.)
City
State
Zip/Postal Code
Phone Number
E-mail

School, Library, Organization, or Company:

NOTE: Non-profits (501(c)3 only) - Charities receive half of the funds that are raised by anyone that they have brought in to participate in RAO!
Please enter the beneficiary's information here:

Choose one of the following options:

Please Bill Me
Will Send Check
Use PayPal Option

**If using paypal option, click the button on the thank you page (which will appear after you click submit below) to donate.**

How did you find out about Read Across Oregon?

Web
Friend/Family
Co-Worker
E-Mail Promotion
Other

I would like to recommend an organization or individual for you to contact regarding involvement with Read Across Oregon.

Name
Organization
Work Phone
E-mail