Breakfast Meeting REservation Form
If you would prefer to pay via paper check, please click here for a printable version of this application to mail in along with your check. For additional information, click here to contact us or call Denise Correia 559-999-9153.

Items in red are required for new members.

Type of membership ($55)    
Name:
Parish:
Occupation:
Company:
E-mail:
Street Address:
City:
State:
Postal/Zip Code:
Work Telephone:
Home Telephone:
Cellular Telephone:
  I prefer paperless correspondence by e-mail.
  My Company may advertise in the Annual CPBC Directory. (additional $60)
        Contact:  
  Please do not publish my personal information in the Directory
Pre-paid Breakfasts

Note: Unused breakfasts will be donated to clergy meals. Donation to CPBC
Donation Amount:
Optionally include an additional donation to CPBC
Important Notes/Comments:
Payment Method:
Secure Payment - Pay Online

Total Amount: $0
This amount includes an online payment processing fee.

 

"FAITH - ETHICS - AND BUSINESS - NEED NOT BE MUTUALLY EXCLUSIVE"