MIMForum 10<sup>th</sup> Birthday Gift Certificate Form

Help buy a Gift Certificate for the MIMForum MIMForum 10^th Birthday Drawing!!

Thank you for participating in our MIMForum 10^th Birthday drawing!
You will get an e-mail "thank you!" within a few days. If you don't get one, we didn't get your contribution.
NOTE THAT THE CHARGE WILL BE FROM IN THE TRADITION, INC.


Your Name:
Your E-Mail:
Amount, $10 minimum!	$
Payment Type	MasterCard Visa
Credit Card number	exp: Format: XXXX-XXXX-XXXX-XXXX exp: XX / XX

THANK YOU!!
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