Thank you for supporting FCC-Oregon/SW Washington.  You can join or renew your FCC membership online. 

After submitting your application, the confirming email will contain the link to complete your on-line payment.

If you want to do it all by mail, you can print this form, then submit via U.S. Mail.  Here is the mailing address:

Oregon SW/WA FCC Membership
PO Box 5642
Portland, OR 97208

If you have questions, please contact .

I am a New Member    Renewing Member    Updating/Correcting Family Info
Family & Individual: Annual membership dues are $25 (not tax deductible). China Adoptive Family    Waiting Family    Friend of FCC
Organizations: Annual membership dues are $50 (not tax deductible).
Organization:
Type:
Contact Person:
ALL MEMBERS: Please complete all applicable information.
Today's Date:
Name:
Address:
City:	State: Select Oregon Washington Alabama Alberta Alaska Arizona Arkansas British Columbia California China Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick Newfoundland New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northwest Territories Nova Scotia Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington D.C. West Virginia Wisconsin Wyoming Yukon Territory Outside USA/Canada    Zip:
Home Phone:	123-456-7890
Work Phone:	123-456-7890
FAX:	123-456-7890
eMail 1:
eMail 2:
Your Children by adoption or birth (Waiting Families, please send info when available):

Full name:	Gender	Birth Date        mm/dd/yyyy	Adoption Date mm/dd/yyyy	Place of Birth (City, Province)
	M F
	M F
	M F
	M F
	M F
	M F
	M F
	M F
Please Note: FCC membership information is for the personal use of FCC members only.  The FCC Board will not make its membership list available to anyone for commercial purposes but occasionally will share its mailing list with organizations that share our mission and vision (such as the Portland Classical Chinese Garden & the Northwest Adoptive Families Association).
Check here if you would like to opt out of making your name/address available to such organizations.
Please protect members' privacy by using information in the directory only for such personal purposes as contacting other adoptive families.  You are responsible for protecting members' privacy by adhering to these guidelines.  Be advised, however, that if you choose to be included in the directory, information you provide may become available to a broader audience than the FCC membership. Your application must be received by November 1, 2007 for your listing to be included in the next FCC Directory.
Do you want to be included in the annual membership directory?  Yes  No Do you want to receive FCC "What's New" and other FCC information via email?  Yes  No Do you want to receive your copy of the newsletter via email?  Yes  No By agreeing to membership in Portland-Vancouver FCC, I (we) hereby consent to the use and publication of unidentified photos of my (our) children at FCC events in all FCC materials, newsletters and/or the FCC website, or for any other non-commercial purpose related to the mission of FCC.
FCC is a fully volunteer organization. All events or programs are only offered because of FCC members volunteering their time and energy. 1. Please check the areas where you would be able to help:

Anything	Fundraising
Accounting Assistance	FCC Website
Age-specific activities	Legal assistance
Board Membership	Membership Team
Chinese New Year	Moon Festival picnic
Charitable Giving	Newsletter Team
Crafts	Playgroups
Cultural programs	Single families
Database - MS Access	Volunteer coordinating
FCC Dance Troupe	Waiting families
	Other  (e.g. meeting space, copying services, materials, etc)
Do you have a suggestion for an FCC event or a recommendation for a speaker for an event?
Please share any additional comments, ideas, feedback or thoughts: Thank you for getting all the way to the end.  Submit your membership application by pressing this button.