CMM Donations

Make A Donation/Offering

Please fill in the sections below. Once you have completed this form, please click on the 'Submit' button. If you wish, you may send your donation to Dave Martin International, PO Box 608150, Orlando, FL 32860. If you send a credit card # please send expiration date and please put your signature as authorization. If you make a mistake, please make your corrections as necessary. If you need to clear the form, please click on the 'Reset' button.

Donation Date:

09/03/2010

First Name:

Last Name:

Address:

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How did you first
hear about us?


Yes, I want to become a favor friend partner at the following level. $30 per month $61 per month $111 per month
Comments

	SEED AMOUNT:	$30 $61 $111 Other

	NAME ON CARD:
	CARD TYPE:	MasterCard Visa American Express Diners
	CARD NUMBER: (PLEASE NO HYPHENS OR SPACES)
	EXPIRATION DATE:	/

Warning -- Be sure to only click Submit button only once
as each click is a charge to your credit card.