Registration: IPMS-PAC Donations

Thank you for donating to the IPMS PAC Fund.  Please remember that Corporate Credit Cards CANNOT be used for PAC Donations, they must come from a personal account.

USER INFORMATION
First Name:
Last Name:
Company:
Work Address:
Work Address 2:
Work City:
Work State:
Work Zip:
Primary Email:
Confirm Email:
Work Phone:
Please Select Your Donation Amount:
$500  $250  $125  $100  $75  $50  $25  
By submitting this online form, I understand and agree that IPMS will have my contact details for the purpose of processing my information and ensuring full participation. For complete privacy policy, click here.

 

Watch the video above to learn more about Podiatry 

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