Co-Dependents Recovery Society
Seventh Tradition Contribution Form
Send order form to:
Co-Dependents Recovery Society
Co-Dependents Recovery Society
P.O. Box 306, Stn. Main
Surrey, B.C.
V3T 5B6
FAX 1-604-777-4890
Website –www.cdrs.ca
Seventh Tradition Contribution | |
|---|---|
| Group Name_______________________________________ | Email Address_______________________________ |
| Address______________________________________ | Date______________________________________ |
| ____________________________________________ | Contact Name______________________________ |
| City________________________________________ | Phone Number______________________________ |
| Province____________ Postal Code______________ | |
Method of Payment | |
|---|---|
| Cheque Money Order Mastercard Visa | |
| Name as shown on card________________________________________________ | |
| Card #____________________________________________________________ | |
| Expiry Date____________________________________ | |
Please indicate contribution destination: | |
| CoDA Inc. CDRS CoDA Canada | |
Contribution acknowledgement should be sent to:
| Name__________________________________________________________ |
| Address________________________________________________________ |
| City___________________________________________________ |
| Province________________ Postal Code_________________ |