Shared Vision Pledge Card

Name*

First Last

Email*

City/State

Giving us your city, state and zip code helps us track where support for the Shared Vision outreach is coming from.

City State ZIP Code

Relation to Deschutes

What is your relationship to the Deschutes River (check all that apply):

Farming
Fishing
Recreation: Water-based, e.g., kayaker, rafter, SUPer
Recreation: Other: e.g., hiking, running, dog-walking, mountain biking
Business interest
Riverside resident
Other

Other Description

Please describe your relationship to the Deschutes categorized as "other".

Display Name as Signer?*

Names of those who sign this pledge of Shared Vision will be publicly listed on our website unless you opt out here.

Yes, ok to display my name
No, please do not display my name

By signing onto the Shared Vision, you will be receiving periodic Shared Vision email updates. You can unsubscribe from these at any time by clicking the unsubscribe link at the bottom of the email.

Email Signup*

Would you also like to receive email newsletters from Coalition for the Deschutes?

Yes
No

Phone

This field is for validation purposes and should be left unchanged.

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Shared Vision Pledge Card