CEDA Business Directory Submission Form


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CEDA Business Directory Submission Form

After you complete this form simply click the "Continue" button to go to confirmation page (Step 2). For any questions, please call (617) 287-2332 or send an email to ceda@cedaministry.org

CEDA Membership:
Are you (your company) a CEDA Member?	Yes No
Add your Registration to become a CEDA member for $100.00?
If "YES", select "CEDA Member" options in the rest of the form below

Business Directory - ON-LINE:
(Job posting will be listed on the CEDA website)

Add your Registration so that your business is promoted in the CEDA "On-Line" Business Directory?

YES - If "YES" Select Cost:

CEDA Member Cost:

FREE

Non- CEDA Member Cost:

$75.00

Click on the drop-down arrow to select your catergory:
Other, if not listed:

Your Company Description
as it will appear in the CEDA Business Directory online (25 words or less):

Company's CONTACT Information:

Contact Person's First Name:
Contact Person's Last Name: Sal.
Contact Person's Title:
Company's Full Name:
Address 1:
City:	State:
Zip Code:
Phone #:	Ext:	AM PM
Fax #:
E-mail:
Web Site:

PO / IO #:

Company's BILLING Information (if different from Co. info):

Contact Person's First Name:
Contact Person's Last Name: Sal.
Contact's Person's Title:
Company's Full Name:
Address 1:
City:	State:
Zip Code:
Phone #:	Ext:	AM PM
Fax #:
E-mail:
Web Site:

====================================================

Registration Fees TOTAL:

Payment Method: (choose one)
ON-LINE with Credit Card - You will go to secure payment page after this form is submitted (preferred method)		On-Line
By Mail with Check - Please make check payable to CEDA and mail it to: P.O. Box 190576, Boston MA 02119		Mail-In Check
By Phone with Credit Card - Please call 617-287-2332 and pay by phone after submitting this form. Payments are processed OFF-LINE.		Credit Card by Phone

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It is important that you fully complete this form so that we have accurate information. You can also call 617-287-2332 to ensure receipt of your form. We look forward to being a blessing to you!