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PLC:

a0049d

Agency:

california special districts association

For:

member fees - pay what you can

Phone:

916-442-7887

Address:

1112 i street
sacramento , california 95814

*Required Field

Payment Information

*Main Contact Name:

*Title:

*Email Address:

*Phone:

(### - ### - ####)

*District Name:

*Mailing Address:

*City:

*State:

*Zip:

^(If different from Mailing Address)^

Physical Address:

City:

State:

Zip:

*District Operating Revenue:

QUESTIONS? Contact Member Services at 877.924.2732 or membership@csda.net

ELIGIBILITY

-Be an independent special district (as defined by Government Code section 56044) and/or public agencies whose legislative body is composed of representatives from two or more public agencies.

-District's annual operating revenue/income as of June 30, 2020 is less than $250,000.

Only one-time grants or straight pass-through funding should be excluded.
Any funding used to support agency operations such as payroll and
other administrative expenses should be included.

-Is not a current CSDA member or a district who lapsed CSDA membership in the past 18 months.

Payment Amount

Pay What You Can Amount :

Subtotal:

$0.00

Total:

$0.00

Billing Information

*First Name:

Middle Initial:

*Last Name:

*Billing Address:

*City:

*State/Province:

*Zip:

*Country:

*Phone Number:

*Credit/Debit Card:

(enter the full card number without any dashes or spaces)

*Expiration Date:

*Card Security Number:

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