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Application for Admission

  1. CMC Deposit Only

  2. Enter "1" to make a single $50 payment

  3. CMC Designation in Full

  4. Enter "1" to make a single $125 payment

  5. CMC Designation in Full with Plaque (US Only)

  6. Enter "1" to make a single $165 payment

  7. MMC Deposit Only

  8. Enter "1" to make a single $50 payment

  9. MMC In Full

  10. Enter "1" to make a single $400 payment

  11. MMC In Full With Plaque (US Only)

  12. Enter "1" to make a single $50 payment

  13. Continuing Education Contribution

  14. Enter "1" to make a single $25 donation

  15. The Continuing Education Donation listed above is not a mandatory payment. It would be a contribution to the IIMC Foundation which provides scholarships and grants to for IIMC members to attend Institute Programs and the IIMC Annual Conference.

  16. Leave This Blank:


8331 Utica Ave., Suite 200 | Rancho Cucamonga, CA 91730 | Ph: (909) 944-4162 | Toll Free: (800) 251-1639 | Fax: (909) 944-8545
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