CODA International - Donate to the Memorial Fund

CHILDREN OF DEAF ADULTS

CODA CELEBRATES THE UNIQUE HERITAGE AND
MULTICULTURAL IDENTITIES OF ADULT HEARING
INDIVIDUALS WITH DEAF PARENT(S).

Memorial Fund Donation Form

For inclusion in the presentation to be made at the annual CODA International Conference, the deadline for submission of the donation, information form and photo(s) is June 1st prior to the Conference date.

Please email photo(s) to: memorial@coda-international.org

Photos received after June 1st will be included in the presentation developed for the following year’s Conference.

Thank you,

Diane Hazel Jones and Dennis G. Joyce, Co-Chairs

This first section for contact information is about the person making the donation and the second part is for the contact information of the person’s family member so that CODA International can send notification that the donation has been made in their loved ones memory.

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Donation

* Mandatory fields

*First name

*Last name

*Email

*Address

Address 2

*State/Province/Region

*Postal/Zip Code

*Country

*Amount ($USD)

Comment

*In Memory Of:

*Is the person being remembered a Coda?

Yes

If not a Coda, is the person a supporter of CODA?

Clear selection

Yes

Name of Family Members(s)

The next section is for the contact information of the person’s family member so that CODA International can send notification that the donation has been made in their loved ones memory

Street Address of Family Member

City of Family Member

State of Family Member

Country of Family Member

Email Address of Family Member

MEMBERSHIP DISCLAIMER:

CODA International is a private organization maintained and governed by CODA International members. Codas being persons who have one or more parent with a demonstrable and verifiable hearing loss. Non Codas interested in becoming Supporting Members are encouraged and highly welcomed. Persons joining as a voting member or registering for CODA International conference or specified events, found to be non-Coda will automatically have their status changed to Supporting Member and any dues or fees paid to CODA will be forfeited. The privacy and security of all registered members is a top priority for the purpose of admittance, denials, and revocations.

SOCIAL MEDIA DISCLAIMER:
CODA International is not responsible for non-affiliated social media accounts which may not be a direct representation or share the beliefs that of CODA-International websites etc.

Official Social Media accounts CODA International:
Facebook: Children of Deaf Adults International Inc. ~ Twitter: @codaintl ~ Instagram: codainternational ~ YouTube: CODA International Inc