Online Sponsorship Application

Please complete the below online sponsor application form.

After completing the online form, send a check via mail made payable to Oregon Permit Technicians Association

Mail to:
OPTA
4230 SE King Rd PMB 238
Milwaukie OR  97222

For those who prefer the manual approach, you may download and print the PDF version of the application located here.

Organization: *

Point of Contact: *

Sponsorship Level: *

Platinum $500 or more

Gold $101 to $499

Silver $100 or less

Contribution Amount: *

Enter specific contribution amount.

Address: *

City: *

State: *

ZIP/Postal Code: *

Telephone: *

Email Address: *

(If you're a human, don't change the following field)

Enter your name:

Your first name.

(If you're a human, don't change the following field)

Enter your name:

Your first name.

(If you're a human, don't change the following field)

Enter your name:

Your first name.

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