Lasting Change Clinics VIMM clinics provide a lasting change Please enable JavaScript in your browser to complete this form.Name *FirstLastPhone *Email *Clinic SponsorshipsHalf-Day Clinic Sponsorship – $ 250.00Full-Day Clinic Sponsorship – $ 500.00One-Week Clinic Sponsorship – $ 2,500.00Other Donation Amount *Multiple Choice *One-time DonationMonthly Recurring DonationCredit Card *CardName on CardPhoneSend
