Member Pledge Form

In support of DeKalb County Economic Development Corporation (DCEDC) and the continuing value they add to the DeKalb County economy, please accept the following investment in the future of DeKalb County:

*required information
 

Member Status

New Member

Already a Member
    (Pledge/Payment for 2010)     (Pledge/Payment for 2010)
 

Contact Information
Name*
Phone number*
Email Address*
 

Company Information
Company Name*
Company Address*
Company City*
Company State*
Company Zip Code*
Web Address
 

Payment Amount
Donation Amount* $
 

Billing Information
First Name*   Last Name*
Company Name      
Street Address*   City*
State*   Zip*
Phone #*   Fax #
 

Company Category
List our company under the following category/categories - check all that apply
Agriculture Auto Banking & Finance
Chambers of Commerce Commercial Businesses Contractors
Developers Education/Job Training Engineers
Individuals Industry Local Government
Medical Non-Profit Organizations Professional Services
Real Estate Utilities    
           
 

Special Notes
   
Mastercard or Visa only.
 

Pay by Credit Card

Invoice Me