MEMBERSHIP

	Individual Membership 2010 $150.00
Select one: Student/Volunteer @$50.00 Professional @$150.00 Contributing @$250.00 Sustaining @$500.00 Sponsoring @$750.00

 

	Organizational Membership 2010 $1,000.00
Select one: Association @$1,000.00 Professional @$2,500.00 Institutional @$4,000.00

                                                                                      

	Community Program Membership 2010 $150.00
Select one: $0 to $24,999 @$25.00 $25,000 to $49,999 @$50.00 $50,000 to $149,999 @$150.00 $150,000 and up @$300.00

 

AUTOMATICALLY RENEW YOUR MEMBERSHIP EACH YEAR:

	Annual Auto-Renewal I give CDRC permission to charge my membership dues on an annual basis each October. (CDRC will notify you one month prior with an opt-out reminder.)

 

  

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

___Sustaining:      $500

___Contributing:   $250

___Professional:    $150

___Students & Volunteers $50

 

 

Organizational categories:

 

___Institutional:   $4,000

___Professional:   $2,500

___Association:   $1,000

 

 

Community Mediation categories:

Annual Budget of;

 

___$0 - $24,999:            $25

___$25,000 - $49,999:     $50

___$50,000 - $149,999:   $150

___$150,000 and up:       $300

 

If you wish to mail in your application and pay by Visa or Mastercard, please fill in the information below:

Card Number______________________________________________

Security Code _________________ Expiration Date_______/_______ 

 

I give CDRC permission to charge my membership dues on an annual basis each October. (CDRC will notify you one month prior with an opt-out reminder.)

 

Signature for auto-renew (credit card only):

 

________________________________________________________________

 

Please mail this form with your check or credit card number to:

1430 S. Grand Avenue #256
Glendora, CA 91740
Phone: 886-216-CDRC
Fax: 626-974-5439
cdrc@mediate.com

 

 

1430 South Grand Avenue # 256

Glendora, CA 91740

Phone: 866-216-CDRC (2372)

Fax: 626-974-5439 cdrc@mediate.com