CDR Membership Application

USE THE FOLLOWING TO CALCULATE YOUR DUES, YOU DON'T NEED TO SEND IN THIS PART!

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 year 1/2 year 1/4 year 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   ___ $________

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PLEASE CUT HERE AND SEND THIS PART IN:  (Please print clearly)

Lifetime Membership $200.00___   $______
Contribution:   $______
Total Amount Due:   $______
FIRST NAME, MIDDLE INITIAL, LAST NAME [   ]  New or [   ]  Renewal
STREET ADDRESS, APT. #
CITY STATE ZIP CODE
TELEPHONE FAX E-MAIL ADDRESS (print carefully)
CHAPTER/MEMBER#, IF KNOWN DATE AMOUNT ENCLOSED

[    ] Please put me on the CDR Members Exchange via Yahoo Groups (must supply e-mail address)

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

CDR INC.
909 12th Street
Sacramento, CA  95814