CEDA Wealth Summit “Invitation Only” Networking Breakfast Session Registration Form


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CEDA B-2-B | Friday, June 19, 2009
Friday Morning “100 LEADERS BREAKFAST MEETING”
Registration Form

We are excited that you will be attending CEDA’s upcoming “100 Leaders Breakfast Meeting” on Friday, June 19, 2009 with invited guest speaker and author Ms. Dondi Scumaci, President - Elevations Unlimited, Inc., This event is exclusively for CEDA members and invited guest only. The topic for our morning session is “Empowering Yourself – How to Qualify for Promotion”. The location for this powerful event is:

Phillips Banquets & Meetings
The Sumerset Room
780 Morrissey Boulevard
Boston, MA 02122

After you complete this form simply click the "Continue" button to go to confirmation page (Step 2) . For any questions, please call (617) 287-2332 or send an email to ceda@cedaministry.org

CEDA Membership:
Is your organization presently a CEDA member?	YES NO
If "NO” Add your Registration to become a CEDA member for $100.00?
If "YES", select "CEDA Member" options in the rest of the form below

• Price discounts on various products and services offered by the CEDA organization
• Free business listing on the CEDA web site
• One (1) free job opportunity posting on the CEDA website
To learn about the additional benefits of becoming a CEDA member go to www.cedaministry.org/partnership.htm

Friday Morning "100 Leaders Networking Meeting"
Register for Friday Morning "100 Leaders Networking Meeting"?	YES - If "YES" Select Cost:
CEDA Member Individual Cost:	$40.00 (per person)
Non-CEDA Member Individual Cost:	$45.00 (per person)
Names of Attendees: NOTE: You may register and pay for up to 5 names per registration.	1. 2. 3. 4. 5.

• Enjoy a private networking session with area leaders
• Participate in a motivational discussion with invited guest speaker and author Ms. Dondi Scumaci, President - Elevations Unlimited, Inc.
• This event is exclusively for CEDA members and invited guest only
• The “100 Leaders Networking Meeting” is sponsored in part by Ann’s Christian Learning Center
• Session hours are from 9:00am until 11:00am

Registration Fees TOTAL:

Payment Method: (choose one)
ON-LINE with Credit Card - You will go to secure payment page after this form is submitted (preferred method)		On-Line
By Mail with Check - Please make check payable to CEDA and mail it to: P.O. Box 190576, Boston MA 02119		Mail-In Check
By Phone with Credit Card - Please call 617-287-2332 and pay by phone after submitting this form. Payments are processed OFF-LINE.		Credit Card by Phone

CONTACT Information:

Contact Person's First Name:
Contact Person's Last Name: Sal.
Contact Person's Title:
Company's Full Name:
Address 1:
City:	State:
Zip Code:
Phone #:	Ext:	AM PM
Fax #:
E-mail:
Web Site:

PO / IO #:

BILLING Information (if different from CONTACT info):

Contact Person's First Name:
Contact Person's Last Name: Sal.
Contact's Person's Title:
Company's Full Name:
Address 1:
City:	State:
Zip Code:
Phone #:	Ext:	AM PM
Fax #:
E-mail:
Web Site:

Click on the drop-down arrow to select your catergory:
Other, if not listed:

For businesses that have selected to become CEDA members or to advertise
in the Symposium Program Book, please describe your organization
in 50 words or less:

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It is important that you fully complete this form so that we have accurate information. You can also call 617-287-2332 to ensure receipt of your form. We look forward to being a blessing to you!