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| You can use the form below to send in a donation. Just print it out and mail to the address at the bottom, along with your contribution. |
DONOR/SUBSCRIBER INFORMATION
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| Yes, I (we) want to support the work of CDPI Education Fund. This form is to: |
| ___ make a donation to support the general work of CDPI Education Fund. |
| ___ make a donation for the purpose of __________________. |
| ___ register for ________ workshop ($__ per person) |
| First Name: | _______________________ |
| Last Name: | _______________________ |
| Address: | _______________________ |
| City: | _______________________ |
| State: | _______________________ |
| Zip: | _______________________ |
| Phone: | _______________________ |
| Fax: | _______________________ |
| Payment: | _______________________ |
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Please make your a check payable to: CDPI Education Fund and
mail it to: CDPI Education Fund, 926 J Street, Ste. 413, Sacramento, CA 95814 |
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