Give With A Check
Please print this form and then make program selections by checking the box on left
and indicating the amount on the right. Thank you!
| Select | Program Title | Amount |
|---|---|---|
| Student Loan Repayment Grant Program | ||
| CDA Foundation Grant Program | ||
| Direct Programs for the Underserved | ||
| Friends of the Foundation | ||
| $250 Quarterly or $85 Monthly | ||
| $625 Quarterly or $210 Monthly | ||
| $1250 Quarterly or $420 Monthly | ||
| $2500 Quarterly or $835 Monthly | ||
| Relief Fund | ||
| Dental Education & Scholarships | ||
| Unrestricted Giving | ||
| Total Donation: | ||
Make your checks payable CDA Foundation and send to:
CDA Foundation
1201 K Street, Suite 1511
Sacaramento, CA 95814