Circle of Friends Membership

 

RECURRING PAYMENT

 

 

MIM is a registered 501(c)3 nonprofit organization.

Please complete the form below and click "Submit" to confirm your membership.

 

To submit this form, all "*" fields must be filled in. 

 

Melody $1,000 $83.33 monthly or $250 quarterly
Harmony $2,500 $208.33 monthly or $625 quarterly
Curator's $5,000 $416.67 monthly or $1,250 quarterly
Director's $10,000 $833.33 monthly or $2,500 quarterly
Founder's $25,000 $2,083.33 monthly or $6,250 quarterly

 

Recurring Amount*
Frequency*

MEMBER INFORMATION
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Primary Last Name*
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PAYMENT INFORMATION
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ADDITIONAL INFORMATION
If you received a code, please select it here:
Additional Comments