Domestic Referral Agency Handbook: $400 (Plus $15 S&H if mailed)
Full Payment:
paid with cash,
paid with check, or
paid by credit/debit card listed below.
CCDRA Annual Membership Dues: $300 per office location
1.) Full Payment (first year):
$300 x
# of locations =
$ due with application.
2.) Monthly Payment Plan:
$25 x
# of locations =
$ due by 21st of each month.
Terms: This membership agreement will be the only document provided regarding membership dues; invoices and statements will not be provided. Member acknowledges that Member is purchasing an annual membership and, in the event of Cancellation during the membership period, member agrees to pay the balance of the annual membership fee with credit / debit card on file with CCDRA. Dues paid in one payment: Cash*, check or credit / debit card accepted. Dues paid in monthly payment: Cash*, credit / debit card accepted. Credit / debit card payments are processed monthly on the 21st. Checks will be accepted when a credit / debit card has been provided and Member agrees for the credit / debit card to be charged in the event payment has not been received by the 21st of any month during the membership period. *Cashier’s check or money order will be considered a cash payment.
Please circle payment type: Cash - Check - Automatic Bank Check - Credit Card - Debit Card
Credit or Debit Card #
CVV: Exp Date: American Express, Visa, MasterCard or Discover.
Name as listed on Card: .
Note: CCDRA membership dues may be deductible as professional or business expenses to the extent allowable by law. U.S law requires businesses to report the lobbying portion of their membership dues as a non-deductible, after-tax expense. CCDRA estimated lobbying portion is 60% of membership dues.
