PRINTABLE MEMBERSHIP FORM
CDRC MEMBERSHIP
YES, I want to support the work of CDRC in California in 2010.
Name:____________________________________________________________
Address:__________________________________________________________
Address:__________________________________________________________
City/State:_________________________________________________________
Zip Code:_________________________________________________________
Phone #: _____________________
Fax #: ______________________
Email:____________________________________________________________
Because CDRC is a non-profit advocacy group, donations to CDRC are not normally tax-deductible. However, membership dues in a professional organization, including an advocacy group are normally tax-deductible. We encourage you to join CDRC at the highest level possible to insure that we can continue to assist our legislators in understanding the nature and value of mediation, arbitration and other alternative dispute resolution services. Please consult your tax counsel for application of these rules in your situation.
Individual categories:
__ Sponsoring: $750 __ Professional: $150
__ Sustaining: $500 __ Students & Volunteers $50
__ Contributing: $250
Organizational categories:
__ Institutional: $4,000 __ Professional: $2,500
__ Association: $1,000
Community Mediation categories:
__ Community Annual Budget of $0 - $24,999: $25
__ Community II Annual Budget of $25,000 - $49,999: $50
__ Community III Annual Budget of $50,000 - $149,999: $150
__ Community IV Annual Budget of $150,000 and up: $300
If you wish to pay by Visa or Mastercard, please fill in the information below:
Card Number ______________________
Card Number ______________________
Exp: ____/____ CVV2 _______________
__ I authorize annual automatic membership renewal.
Signature __________________________________________
Please forward this form with your check or credit card information to:
1430 S. Grand Avenue #256
Glendora, CA91740
Phone: 886-216-CDRC
Fax: 626-974-5439