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Membership Donations
March 10, 2010
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Mardi Gras 2010
Membership Donations
Membership/Friends Donation
Community Foundation of Acadiana offers five levels in its Friends program.
Levels:
Philanthropist ($5,000 or more)
Benefactor ($2,500 - $4,999)
Donor ($1,000 - $2,499)
Supporter ($500 - $999)
Friend ($100 - $499)
For online donations via credit card, please fill out the form below.
Highlight a Membership Level from the drop-down list to select it for donation.
Philanthropist ($5,000 or more)
Benefactor ($2,500 - $4,999)
Donor ($1,000 - $2,499)
Supporter ($500 - $999)
Friend ($100 - $499)
Enter your donation amount within the corresponding level:
Enter an amount: $
You may choose to pay for your membership with our convenient Recurring Payment Option
One Time Payment
Recurring Payment
Monthly
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Address & Optional Fields
Name:
Prefix
First Name*
M.I.
Last Name*
Suffix
N/A
Mr.
Ms.
Mrs.
Miss
Dr.
Admiral
Assemblyman
Brother
Capt.
Chief
Col.
Commander
Councilman
Councilwoman
Deacon
Dean
Elder
Estate of
Fr.
Gen.
Governor
Hon.
Imam
Judge
Justice
Lt.
Lt. Col.
Lt. Col. Ret.
Lt. Gen.
Lt. Gov.
Major
Mayor
Msgr.
Pastor
President
Principal
Prof.
Rabbi
Representative
Rev.
Rev. Dr.
Senator
Sgt.
Sir
Sr.
Supervisor
The Honorable
The Reverend
City
Financial
N/A
M.D.
Ph.D.
Jr.
Sr.
II
III
IV
Ed.D.
LCSW
CPA
MSW
J.D.
D.C.
Ret.
R.N.
MSW, LCSW
M.D., Ph.D.
CFP
Jr., Esq.
MPH
Esq.
D.V.M.
D.D.S.
CFRE
Jr., M.D.
DrPH
O.P.
D.A.
M.A.
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Spouse Name:
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How would you like to be listed in CFA publications?
If you do not specify a name (or names), we will use the name submitted at the top of this form.
We’re YOUR Foundation – For Good. For Acadiana. For Ever.
1035 Camellia Boulevard, Suite 100-- Lafayette, LA 70508 -- 337.769.4840