CDR Membership Application

Please printout this form, then follow instructions at bottom of page.    -    Return to About CDR
ANNUAL DUES    JULY 1 - JUNE 30

If you are joining July-Sept, pay the full year; from Oct- Dec, pay 3/4 year; from Jan-Mar, pay 1/2 year; from April-June, pay 1/4 year.
  Full year 3/4 yr 1/2 yr 1/4 yr Amount_due
Regular Annual Dues: $25.00_____ $18.75_____ $12.50_____ $6.25_____ $_______
Student/Low Income Annual Dues: $10.00_____ $7.50_____ $5.00_____ $2.50_____ $_______
Family (2 people) Annual Dues: $40.00_____ $30.00_____ $20.00_____ $10.00_____ $_______
Each extra person annual dues: $4.00_____ $3.00_____ $2.00_____ $1.00_____ $_______
Non-Member
New World Annual Subscription only:		 $20.00_____ $15.00_____ $10.00_____ $5.00_____ $_______
Lifetime Membership: $ 200.00_____ $_______
Contribution: $_______
Total Amount Due: $_______
FIRST NAME, MIDDLE INITIAL, LAST NAME
       [   ]  New or [   ]  Renewal
STREET ADDRESS, APT. #
CITY STATE ZIP
TELEPHONE FAX E-MAIL ADDRESS
CHAPTER / MEMBER#, IF KNOWN DATE AMOUNT ENCLOSED
[    ] Do NOT include my membership information in a Directory distributed only to CDR members.

Instructions: PRINTOUT THIS FORM, COMPLETE ALL ENTRIES, AND THEN SEND IT WITH A CHECK FOR AMOUNT DUE MADE PAYABLE TO:

CDR, INC.
909 12th Street, Suite 200
Sacramento, CA 95814
Phone: 1-800-838-9237