Oregon Mediation Association
  



PO Box 40041
Portland, OR 97240
Phone: 503-872-9775
 

Oregon Mediation Association

 
Membership Application and Renewal Form

Thank you for joining the Oregon Mediation Association (OMA) or renewing your membership!  Please complete all of the fields below and click the submit button to proceed to the payment page. 
 
 
 
To print a hard copy membership form to mail in, click here to download.
 
 
 
Please contact the OMA office at oma@omediate.org or (503) 872-9775 if you have any questions. 
We appreciate your support!
 
 
Name
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Title
Company
Address
street line 1
street line 2
, city, state/prov zip
Email
Phone
Fax
Alternate Phone
Website
Standards of Practice Agreement (SOPA)
"I am a mediation practitioner. I have read and will abide by the OMA SOPA."
"I am not a mediation practitioner."
  (Required)
Membership Type
New Membership
Renewal
  (R)
Membership Level
Full-time Student ($25 annually)
Unpaid Practitioner ($35 annually)
Friend of Mediation ($65 annually)
Paid Practitioner ($85 annually)
Non-Profit Organization ($175 annually)
For-Profit Organization ($275 annually)
Lifetime OMA Membership (One time contribution of $1500 or more)
  (R)
Payment
Check
Credit Card/PayPal
Government Voucher/Purchase Order
Other
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OMA Committees - Please indicate those you are interested in joining.
Conference (Annual Conference Planning)
Finance (Financial & Leadership)
Advocacy (Monitoring Legislation)
Membership Services (Member Support & Activities)
Newsletter (Writing/Reporting/Editing/Graphics)
Technology (Tech Support/Social Media/Website)
Development (Grant Writing & Fundraising)
Marketing (Outreach & Publicity)
OMA Special Interest Groups - Please indicate those you are interested in joining
Elder Mediation
Family Mediation
Workplace Mediation
Neuroscience
Volunteer Interest
OMA Events (Fall Conference, Spring Training, Gala)
Office Support
Grant Research & Writing
Social Media
Member Services
I am an Attorney
Yes
No
  (R)
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Please be sure to complete your online payment via PayPal on the next page in order to complete the membership process.  If you have any questions, please contact us at oma@omediate.org.



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