CEDA - CEDA Partnership Contribution Form


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CEDA PARTNERSHIP Contribution Form

We are excited that you are interested in becoming a CEDA member, sponsor or to simply give a donation to the organization.

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

Please choose the Partnership Contribution
you would like to make:

CEDA Membership:
YES	CEDA MEMBER If "YES" please check the amount on the right --->	Amount:
		$100.00

CEDA Sponsor (choose one)
	CEDA SPONSOR If "YES" please check the amount on the right --->	Amount:
YES	PREMIUM Level	Please indicate level of giving: $5,500.00 or more $ type numbers this way: 5500
YES	PLATINUM Level	$4,500.00
YES	GOLD Level	$3,500.00
YES	SILVER Level	$2,500.00
YES	BRONZE Level	$1,500.00
YES	COPPER Level	$500.00

"VIP" Participation:
YES	CEDA DONOR If "YES" please indicate the amount on the right --->	Amount:
	Level of donation:	$ type numbers this way: 250

Payment Method: (choose one)
ON-LINE with Credit Card - You will go to secure payment page after this form is submited (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 submiting this form. Payments are processed OFF-LINE.		Credit Card by Phone

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 #:

BILLING Information (if different from CONTACT 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:

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

Describe in 50 words or less your company:

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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!

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