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3. 
5. First Name:*
6. Last Name:*
8. Address:*
9. Apt/Suite#
11. City/Municipality:*
12. State/Country*
13. Postal Code:*
15. Phone Number:*
16. Email:*
20. Contributions:
    The IIMC Foundation raises funds in support of education programs provided through IIMC to help you and your fellow clerks reach new heights in your professional career and serve your municipalities as effectively as possible. Please consider making a contribution to the Foundation. Your donation is vital to help us grow the Foundation's investment for the future of our IIMC Members.
22. Annual Donation:
    Enter the amount you would like to contribute to the Foundation.
23. Contribution Amount:
24. Price
26. The Contribution is being made to honor:*
    If you are not making a memorial contribution enter "None".
27. Honoree is from:

    Please list Municipality. If you are not making a contribution enter "None"

29. Taxable
30. Shipping Cost
32. Memorial Donation:
    A Memorial donation is a way to honor a colleague, friend or family member.
33. Contribution Amount:
34. Price
36. Taxable
37. Shipping Cost
39. This Memorial Donation is being made to honor:

    If you are not making a memorial contribution enter "None".

43. IIMC Foundation - Education Funds:
    -- Select One --American Legal Publishing Corporation Education FundBarstow Family Education FundFleming Bell EndowmentCharlie Buttiglieri Education FundCCAC - California City Clerks Education FundCCSF - City Clerks of California - CA Clerks OnlyCharles & Stephanie Kelly Endowment FundCODED Systems Education FundMarianne Edwards Education FundGeneral Code Publishing Education FundiCompass Education FundTak & Helen Kawagoe Education FundMary Kayser Education FundElizabeth Kiss Education FundLaserfiche Education Fund - Institute Directors ColloquiumReynolds Miel Education FundMunicipal Clerks Association of New Jersey Education FundMunicipal Code Corp. Education FundNebraska Education FundNMEF - New Mexico Education Fund - NM Clerks OnlyNon-Endowed Scholarship FundOAMR Education FundRobert W. Pritchard Education FundDyanne Reese Education FundRegion IV Education FundNorma Rodriguez Education FundLyall Schwarzkopf Education FundSimmons Leadership Scholarship FundMorgan Stanley Education FundMary Lynne Stratta Education FundMicrovote, Inc. Education FundRobert T. Thorpe Scholarship FundJames B. Tinnin Education FundUecker Education FundChris & Patrick Wilder Education Fund

    Select the fund of your choice above.
45. Selected Fund:
    U.S. Dollar amount entered in Contribution Amount will be applied to Education Fund selected above.
46. Contribution Amount:
47. Price
49. Shipping Cost
50. Taxable
54. IIMC Foundation Giving Society:
    -- Select One --Friend Level: $25 to $49Patron Level: $50 to $99New Century Club: $100 to $249Turtle Society: $250 to $499Schwarzkopf Society: $500 to $999Shinners Society: $1,000 or more

    Be a part of the Foundations Giving Society. Become a Friend, Turtle or Shinners level member. To join one of the Foundation's prestigous giving levels you can select your level below.
56. Level Giving Plan:
    U.S. Dollar amount entered in Contribution Amount will be applied to Education Fund selected above.
57. Contribution Amount:
58. Price
60. Taxable
61. Shipping Cost
Leave This Blank:


63. Calculate Totals Proceed to Checkout

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