Global Facilitator Payment Form "*" indicates required fields Name* First Last Email* Phone*Reason for payment* Yearly Dues Program Licensing Fee Other Yearly Dues Price: Name of Program* Reason for Payment* Licensing Fee Amount (15% of Profit)* Payment Amount* Payment Option* I will mail a check Pay by credit card Card Processing Fee Price: $0.00 Total Mail check toVMC 108 Coalinga Way Santa Cruz, CA 95060Credit Card Details*Card Details Cardholder Name EmailThis field is for validation purposes and should be left unchanged.