Form Center

By signing in or creating an account, some fields will auto-populate with your information.

Education Payment Form

  1. Please note that we are currently unable to process plaque orders due to supplier issue.

    This form is to be used when making a final payment using Credit Cards only.

    IF YOU DO NOT SEE YOUR PAYMENT OPTION LISTED BELOW, PLEASE CALL JANET PANTALEON DIRECTLY AT (909)406-8158 TO DISCUSS YOUR OPTIONS

    If submitting payment by check please click here to download the form required for mailing a payment.
  2. This form does not replace the Application for Admission. Please use the Application for Admission when enrolling in either CMC or MMC Certification Program or EPP Programand submitting the required $50 non-refundable admission fee.
  3. If you do not know your member ID number please contact us at (909)944-4162 and a team member can assist you.
  4. Remaining CMC Certification Fees

    Please note that we are currently unable to process plaque
  5. Remaining MMC Certification Fees

    Please note that we are currently unable to process plaques
  6. Optional Plaque (if not purchased above)

    Please note that we are currently unable to process
  7. Replacement Certificate
  8. IIMC Foundation Education Contribution
  9. Leave This Blank: