2020-21 Membership Enrollment

Please read before continuing:

To make recurring monthly payments via personal or bank check (credit card payments are not available for this option):
1) Click here to download & complete the membership enrollment form and return to us via email or regular mail (no need to complete this online form);
2) Follow the instructions to set up/send your monthly check payment;
3) Your membership becomes active upon receipt of your first payment, and a donation acknowledgement will be emailed/mailed to the address provided.
Questions? Click here to send us an email or call us at 405.252.7462 (be sure to leave a voicemail message with your name and callback number)

Do not complete the rest of this form

To enroll and make a one-time payment by check or credit card, please continue:

Impact Oklahoma does not share or sell contact information with outside parties.

Membership Term begins May 1, 2020 and ends April 30, 2021





Manage Your Account

1) Login Name: Use your email address or create a unique name
2) Password: Must contains at least eight (8) characters and at least one (1) number
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