Application

Organization Information
Main Contact
Billing Address (if different)
Mailing Address (if different)
Additional Information
Membership Investment

  • One additional category may be chosen
 
 

Affiliate Members are additional employees who would like to receive HBA member special benefits & communications. You have 0 complimentary Affiliate sign-ups available ($99 per additional).
Name Phone Email
Name Phone Email
Name Phone Email
Name Phone Email
 (person named must be the Primary Contact or an Affiliate of company)




Oregonians for Affordable Housing (HBA’s PAC) is committed to electing and educating industry friendly candidates. $50 p/individual & $100 p/couple filing jointly can be taken as a tax credit in Oregon according to ORS316.102.
   
 
 
 

The contents of this box are for testing purposes. This box will be removed when the form goes live.
 
 
 
 
 
 
 
 

NOTE: If selecting to pay by Check, please do not fill out the Credit Card Information section at the bottom of the form. Thanks.
Credit Card Information

Name on Card
Security Code
Valid Through
Address
City
State
Zip
Phone
Credit Card Email Address
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Please select a membership type before submitting your application.

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