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JOIN OR RENEW YOUR MEMBERSHIP
<!DOCTYPE HTML> <html lang="en-US"> <head> <title>JOIN OR RENEW YOUR MEMBERSHIP</title> <meta name="viewport" content="width=device-width, initial-scale=1.0" /> <meta http-equiv="Content-Type" content="text/html; charset=utf-8" /> <meta name="referrer" content="no-referrer-when-downgrade"> <!-- THIS SCRIPT NEEDS TO BE LOADED FIRST BEFORE wforms.js --> <script type="text/javascript" data-for="FA__DOMContentLoadedEventDispatch" src="https://www.tfaforms.com/js/FA__DOMContentLoadedEventDispatcher.js" defer></script> <script type="text/javascript"> document.addEventListener("FA__DOMContentLoaded", function(){ const FORM_TIME_START = Math.floor((new Date).getTime()/1000); let formElement = document.getElementById("tfa_0"); if (null === formElement) { formElement = document.getElementById("0"); } let appendJsTimerElement = function(){ let formTimeDiff = Math.floor((new Date).getTime()/1000) - FORM_TIME_START; let cumulatedTimeElement = document.getElementById("tfa_dbCumulatedTime"); if (null !== cumulatedTimeElement) { let cumulatedTime = parseInt(cumulatedTimeElement.value); 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font-size: 20px; margin: 1em 0; letter-spacing: 0.05em; } h2 { font-family: raleway-semibold,raleway,sans-serif; text-transform: uppercase; font-size; 27px; margin: 10px 0px 10px 0px; } h3 { font-family: raleway-semibold,raleway,sans-serif; text-transform: uppercase; font-size; 24px; } h4 { font-family: raleway-semibold,raleway,sans-serif; text-transform: uppercase; font-size; 20px; font-weight: bold; color: #7A9752; letter-spacing: 0.05em; } .wForm div.section > .preField { font-family: raleway-semibold,raleway,sans-serif; text-transform: uppercase; font-size; 20px; font-weight: bold; color: #7A9752; letter-spacing: 0.05em; } .wFormContainer .wFormHeader { margin-left: 50px; margin-top: 20px; margin-bottom: 30px; } .wFormContainer .wFormTitle { border-top: 3px solid #ffce2e; text-align: center; } body { font-family: 'Montserrat', sans-serif;; line-height: 1.5em; font-weight: 400; color: #333333; } p { font-family: 'Montserrat', sans-serif;; line-height: 1.5em; font-weight: 400; color: #333333; } #tfa_2987-L, #tfa_2998-L, #tfa_3000-L, #tfa_3002-L { padding-left: 20px; } #tfa_2378-L, #tfa_2319-L, #tfa_2320-L, #tfa_2321-L, #tfa_2369-L, #tfa_2370-L, #tfa_2371-L, #tfa_2489-L, #tfa_2490-L, #tfa_2491-L, #tfa_2492-L, #tfa_2493-L, #tfa_2494-L, #tfa_2495-L { text-align: center; background-color: #7a9752; border: none; border-top: 4px rgba(255,206,46,1) solid; border-radius: 3px; margin: 0px 15px 0px 0px; height: initial; width: 82px; -webkit-font-smoothing: antialiased; padding: 25px 0px 25px 0px; font-family: inherit; font-size: 15px; font-weight: 600; color: #fff; cursor: pointer; } #tfa_2358-L, #tfa_2307-L { background-color: #fafafa; border-top: 4px rgba(255,206,46,1) solid; margin-top: 10px; padding: 10px; line-height: 1.5em; } .wFormContainer .errMsg, .wForm form .errMsg { color: #eb0000; font-weight: 400; font-size: 12px; } </style> </div> <h3 class="wFormTitle" data-testid="form-title" id="4905265-T">JOIN OR RENEW YOUR MEMBERSHIP</h3> <form method="post" action="https://www.tfaforms.com/api_v2/workflow/processor" class="hintsTooltip labelsAbove" id="4905265"> <div class="wfPage" id="wfPgIndex-1"><div class="section pageSection" id="tfa_2239"> <div class="htmlSection" id="tfa_3011"><div class="htmlContent" id="tfa_3011-HTML"><noscript> <style type="text/css"> #submit_button {display:none; } </style> <div style="color:red"> <b>For full functionality of this page it is necessary to <a href="http://www.enable-javascript.com/">enable Javascript</a> or contact us at <a href="mailto:accounts@impactaustin.org">accounts@impactaustin.org</a> to speak to someone about your membership.<b></b><b> </b></b></div><b><b> </b></b></noscript></div></div> <input type="hidden" id="tfa_3004" name="tfa_3004" value="FALSE" class="calc-TESTMODE"><input type="hidden" id="tfa_2289" name="tfa_2289" value="" class="calc-pid"><input type="hidden" id="tfa_2504" name="tfa_2504" value="" class="formula=todaysDate()"><div id="tfa_1" class="section group"> <div class="htmlSection" id="tfa_2511"><div class="htmlContent" id="tfa_2511-HTML"><h1><p class="MsoNormal" style="margin: 12pt 0in; line-height: normal; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><b>YOUR INFORMATION</b></p></h1></div></div> <div id="tfa_2353" class="section group"> <div id="tfa_2512" class="section column group"><table class="columnLayout"><tr> <td><div class="oneField field-container-D " id="tfa_1868-D"> <label id="tfa_1868-L" class="label preField reqMark" for="tfa_1868">First Name </label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_1868" name="tfa_1868" value="" autocomplete="off" title="First Name " class="required"></div> </div></td> <td><div class="oneField field-container-D " id="tfa_1869-D"> <label id="tfa_1869-L" class="label preField reqMark" for="tfa_1869">Last Name</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_1869" name="tfa_1869" value="" autocomplete="off" title="Last Name" class="required"></div> </div></td> </tr></table></div> <div class="oneField field-container-D " id="tfa_2301-D"> <label id="tfa_2301-L" class="label preField " for="tfa_2301">Preferred First Name</label><br><div class="inputWrapper"><input type="text" id="tfa_2301" name="tfa_2301" value="" title="Preferred First Name" class=""></div> </div> </div> <div id="tfa_2294" class="section column group"><table class="columnLayout"><tr> <td><div class="oneField field-container-D " id="tfa_1871-D"> <label id="tfa_1871-L" class="label preField reqMark" for="tfa_1871">Email</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_1871" name="tfa_1871" value="" autocomplete="off" title="Email" class="validate-email required"></div> </div></td> <td><div class="oneField field-container-D " id="tfa_2290-D"> <label id="tfa_2290-L" class="label preField reqMark" for="tfa_2290">Email Type</label><br><div class="inputWrapper"><select aria-required="true" id="tfa_2290" name="tfa_2290" title="Email Type" class="required"><option value="">Please select...</option> <option value="tfa_2291" id="tfa_2291" class="" selected data-default-value="true">Personal</option> <option value="tfa_2292" id="tfa_2292" class="">Work</option> <option value="tfa_2293" id="tfa_2293" class="">Other</option></select></div> </div></td> </tr></table></div> <div id="tfa_2299" class="section column group"><table class="columnLayout"><tr> <td><div class="oneField field-container-D " id="tfa_1870-D"> <label id="tfa_1870-L" class="label preField reqMark" for="tfa_1870">Phone</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_1870" name="tfa_1870" value="" autocomplete="off" placeholder="###-###-####" autoformat="###-###-####" title="Phone" class="validate-custom /^([\(]{1}[0-9]{3}[\)]{1}[\.| |\-]{0,1}|^[0-9]{3}[\.|\-| ]?)?[0-9]{3}(\.|\-| )?[0-9]{4}$/ required"></div> </div></td> <td><div class="oneField field-container-D " id="tfa_2295-D"> <label id="tfa_2295-L" class="label preField reqMark" for="tfa_2295">Phone Type</label><br><div class="inputWrapper"><select aria-required="true" id="tfa_2295" name="tfa_2295" title="Phone Type" class="required"><option value="">Please select...</option> <option value="tfa_2296" id="tfa_2296" class="" selected data-default-value="true">Mobile</option> <option value="tfa_2297" id="tfa_2297" class="">Home</option> <option value="tfa_2298" id="tfa_2298" class="">Work</option> <option value="tfa_2300" id="tfa_2300" class="">Other</option></select></div> </div></td> </tr></table></div> <div id="tfa_3083" class="section group"> <div class="htmlSection" id="tfa_3082"><div class="htmlContent" id="tfa_3082-HTML"><font size="1"> By providing your phone number, you acknowledge and agree that Impact Austin may contact you via telephone calls or text messages (including through the use of an automatic telephone dialing system or a prerecorded message) at any of the telephone numbers provided by you. You understand and agree that you may opt out of receiving telephone calls or text messages from us at any time by replying STOP or OPT-OUT, by updating you preferences below or by contacting us at <a style="" target="_blank" href="mailto:contact@impactaustin.org"></a><a href="mailto: contact@impactaustin.org" target="_blank">contact@impactaustin.org</a>.</font></div></div> <div id="tfa_3093" class="section group"> <label class="label preField" id="tfa_3093-L"><b>Contact Preferences</b></label><br><div class="oneField field-container-D labelsLeftAligned " id="tfa_3084-D" role="radiogroup" aria-labelledby="tfa_3084-L" data-tfa-labelledby="-L tfa_3084-L"> <label id="tfa_3084-L" class="label preField reqMark" data-tfa-check-label-for="tfa_3084">Impact Austin may send me text messages</label><div class="inputWrapper"><span id="tfa_3084" class="choices horizontal required"><span class="oneChoice"><input type="radio" value="tfa_3085" class="" checked data-default-value="true" id="tfa_3085" name="tfa_3084" aria-required="true" aria-labelledby="tfa_3085-L" data-tfa-labelledby="tfa_3084-L tfa_3085-L" data-tfa-parent-id="tfa_3084"><label class="label postField" id="tfa_3085-L" for="tfa_3085"><span class="input-radio-faux"></span>Yes</label></span><span class="oneChoice"><input type="radio" value="tfa_3086" class="" id="tfa_3086" name="tfa_3084" aria-required="true" aria-labelledby="tfa_3086-L" data-tfa-labelledby="tfa_3084-L tfa_3086-L" data-tfa-parent-id="tfa_3084"><label class="label postField" id="tfa_3086-L" for="tfa_3086"><span class="input-radio-faux"></span>No</label></span></span></div> </div> <div class="oneField field-container-D labelsLeftAligned " id="tfa_3090-D" role="radiogroup" aria-labelledby="tfa_3090-L" data-tfa-labelledby="-L tfa_3090-L"> <label id="tfa_3090-L" class="label preField reqMark" data-tfa-check-label-for="tfa_3090">Impact Austin may contact me via telephone calls</label><div class="inputWrapper"><span id="tfa_3090" class="choices horizontal required"><span class="oneChoice"><input type="radio" value="tfa_3091" class="" checked data-default-value="true" id="tfa_3091" name="tfa_3090" aria-required="true" aria-labelledby="tfa_3091-L" data-tfa-labelledby="tfa_3090-L tfa_3091-L" data-tfa-parent-id="tfa_3090"><label class="label postField" id="tfa_3091-L" for="tfa_3091"><span class="input-radio-faux"></span>Yes</label></span><span class="oneChoice"><input type="radio" value="tfa_3092" class="" id="tfa_3092" name="tfa_3090" aria-required="true" aria-labelledby="tfa_3092-L" data-tfa-labelledby="tfa_3090-L tfa_3092-L" data-tfa-parent-id="tfa_3090"><label class="label postField" id="tfa_3092-L" for="tfa_3092"><span class="input-radio-faux"></span>No</label></span></span></div> </div> <div class="oneField field-container-D labelsLeftAligned hintsTooltip " id="tfa_2203-D" role="radiogroup" aria-labelledby="tfa_2203-L" data-tfa-labelledby="-L tfa_2203-L"> <label id="tfa_2203-L" class="label preField reqMark" data-tfa-check-label-for="tfa_2203"><span style="color: rgb(81, 94, 89); font-size: 14.4px;">Impact Austin may publish my name in the member directory (only accessible to members)</span></label><div class="inputWrapper"> <span id="tfa_2203" class="choices horizontal required"><span class="oneChoice"><input type="radio" value="tfa_2204" class="" checked data-default-value="true" id="tfa_2204" name="tfa_2203" aria-required="true" aria-labelledby="tfa_2204-L" data-tfa-labelledby="tfa_2203-L tfa_2204-L" data-tfa-parent-id="tfa_2203" aria-describedby="tfa_2203-HH"><label class="label postField" id="tfa_2204-L" for="tfa_2204"><span class="input-radio-faux"></span>Yes</label></span><span class="oneChoice"><input type="radio" value="tfa_2205" class="" id="tfa_2205" name="tfa_2203" aria-required="true" aria-labelledby="tfa_2205-L" data-tfa-labelledby="tfa_2203-L tfa_2205-L" data-tfa-parent-id="tfa_2203" aria-describedby="tfa_2203-HH"><label class="label postField" id="tfa_2205-L" for="tfa_2205"><span class="input-radio-faux"></span>No</label></span></span><span class="field-hint-inactive" id="tfa_2203-H"><span id="tfa_2203-HH" class="hint">Select 'Yes' if would you like your contact information made available to other members in the Annual Meeting program or the online Member Directory.</span><button id="tfa_2203-HH-close-button" class="field-hint-close-button" type="button" tabindex="-1" aria-hidden="true" aria-label="Close"> x </button></span> </div> </div> </div> </div> <div id="tfa_2199" class="section group"> <label class="label preField" id="tfa_2199-L"><b>Billing Address</b></label><br><div id="tfa_2200" class="section column group"><table class="columnLayout"><tr> <td><div class="oneField field-container-D " id="tfa_1872-D"> <label id="tfa_1872-L" class="label preField reqMark" for="tfa_1872">Address Line 1</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_1872" name="tfa_1872" value="" autocomplete="off" title="Address Line 1" class="required"></div> </div></td> <td><div class="oneField field-container-D " id="tfa_1873-D"> <label id="tfa_1873-L" class="label preField " for="tfa_1873">Address Line 2</label><br><div class="inputWrapper"><input type="text" id="tfa_1873" name="tfa_1873" value="" title="Address Line 2" class=""></div> </div></td> </tr></table></div> <div id="tfa_2201" class="section inline group"> <div class="oneField field-container-D " id="tfa_1874-D"> <label id="tfa_1874-L" class="label preField reqMark" for="tfa_1874">City</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_1874" name="tfa_1874" value="" title="City" class="required"></div> </div> <div class="oneField field-container-D " id="tfa_3030-D"> <label id="tfa_3030-L" class="label preField reqMark" for="tfa_3030">State</label><br><div class="inputWrapper"><select aria-required="true" id="tfa_3030" name="tfa_3030" title="State" class="calc-states required"><option value="">Please select...</option> <option value="tfa_3031" id="tfa_3031" class="calcval-AL">AL</option> <option value="tfa_3032" id="tfa_3032" class="calcval-AK">AK</option> <option value="tfa_3033" id="tfa_3033" class="calcval-AZ">AZ</option> <option value="tfa_3034" id="tfa_3034" class="calcval-AR">AR</option> <option value="tfa_3035" id="tfa_3035" class="calcval-CA">CA</option> <option value="tfa_3036" id="tfa_3036" class="calcval-CO">CO</option> <option value="tfa_3037" id="tfa_3037" class="calcval-CT">CT</option> <option value="tfa_3038" id="tfa_3038" class="calcval-DE">DE</option> <option value="tfa_3039" id="tfa_3039" class="calcval-DC">DC</option> <option value="tfa_3040" id="tfa_3040" class="calcval-FL">FL</option> <option value="tfa_3041" id="tfa_3041" class="calcval-GA">GA</option> <option value="tfa_3042" id="tfa_3042" class="calcval-HI">HI</option> <option value="tfa_3043" id="tfa_3043" class="calcval-ID">ID</option> <option value="tfa_3044" id="tfa_3044" class="calcval-IL">IL</option> <option value="tfa_3045" id="tfa_3045" class="calcval-IN">IN</option> <option value="tfa_3046" id="tfa_3046" class="calcval-IA">IA</option> <option value="tfa_3047" id="tfa_3047" class="calcval-KS">KS</option> <option value="tfa_3048" id="tfa_3048" class="calcval-KY">KY</option> <option value="tfa_3049" id="tfa_3049" class="calcval-LA">LA</option> <option value="tfa_3050" id="tfa_3050" class="calcval-ME">ME</option> <option value="tfa_3051" id="tfa_3051" class="calcval-MD">MD</option> <option value="tfa_3052" id="tfa_3052" class="calcval-MA">MA</option> <option value="tfa_3053" id="tfa_3053" class="calcval-MI">MI</option> <option value="tfa_3054" id="tfa_3054" class="calcval-MN">MN</option> <option value="tfa_3055" id="tfa_3055" class="calcval-MS">MS</option> <option value="tfa_3056" id="tfa_3056" class="calcval-MO">MO</option> <option value="tfa_3057" id="tfa_3057" class="calcval-MT">MT</option> <option value="tfa_3058" id="tfa_3058" class="calcval-NE">NE</option> <option value="tfa_3059" id="tfa_3059" class="calcval-NV">NV</option> <option value="tfa_3060" id="tfa_3060" class="calcval-NH">NH</option> <option value="tfa_3061" id="tfa_3061" class="calcval-NJ">NJ</option> <option value="tfa_3062" id="tfa_3062" class="calcval-NM">NM</option> <option value="tfa_3063" id="tfa_3063" class="calcval-NY">NY</option> <option value="tfa_3064" id="tfa_3064" class="calcval-NC">NC</option> <option value="tfa_3065" id="tfa_3065" class="calcval-ND">ND</option> <option value="tfa_3066" id="tfa_3066" class="calcval-OH">OH</option> <option value="tfa_3067" id="tfa_3067" class="calcval-OK">OK</option> <option value="tfa_3068" id="tfa_3068" class="calcval-OR">OR</option> <option value="tfa_3069" id="tfa_3069" class="calcval-PA">PA</option> <option value="tfa_3070" id="tfa_3070" class="calcval-RI">RI</option> <option value="tfa_3071" id="tfa_3071" class="calcval-SC">SC</option> <option value="tfa_3072" id="tfa_3072" class="calcval-SD">SD</option> <option value="tfa_3073" id="tfa_3073" class="calcval-TN">TN</option> <option value="tfa_3074" id="tfa_3074" class="calcval-TX" selected data-default-value="true">TX</option> <option value="tfa_3075" id="tfa_3075" class="calcval-UT">UT</option> <option value="tfa_3076" id="tfa_3076" class="calcval-VT">VT</option> <option value="tfa_3077" id="tfa_3077" class="calcval-VA">VA</option> <option value="tfa_3078" id="tfa_3078" class="calcval-WA">WA</option> <option value="tfa_3079" id="tfa_3079" class="calcval-WV">WV</option> <option value="tfa_3080" id="tfa_3080" class="calcval-WI">WI</option> <option value="tfa_3081" id="tfa_3081" class="calcval-WY">WY</option></select></div> </div> <div class="oneField field-container-D " id="tfa_2186-D"> <label id="tfa_2186-L" class="label preField reqMark" for="tfa_2186">Zip Code</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_2186" name="tfa_2186" value="" title="Zip Code" class="validate-integer required"></div> </div> </div> </div> </div> <div class="htmlSection" id="tfa_2479"><div class="htmlContent" id="tfa_2479-HTML"><hr style="width:100%; padding:0px;margin:0px; border-top: 1px solid rgba(255,206,46,1); border-radius: 2px;"></div></div> <div id="tfa_2478" class="section group"> <div class="htmlSection" id="tfa_2510"><div class="htmlContent" id="tfa_2510-HTML"><h1 style="margin: 12pt 0in; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><span style="font-size: 15.5pt; font-family: Montserrat;">ADDITIONAL INFORMATION</span></h1></div></div> <div id="tfa_2217" class="section group"> <label class="label preField" id="tfa_2217-L"><b>Employer Information</b></label><br><div id="tfa_2220" class="section column group"><table class="columnLayout"><tr> <td><div class="oneField field-container-D " id="tfa_2218-D"> <label id="tfa_2218-L" class="label preField " for="tfa_2218">Company Name</label><br><div class="inputWrapper"><input type="text" id="tfa_2218" name="tfa_2218" value="" title="Company Name" class=""></div> </div></td> <td><div class="oneField field-container-D " id="tfa_2219-D"> <label id="tfa_2219-L" class="label preField " for="tfa_2219">Occupation</label><br><div class="inputWrapper"><input type="text" id="tfa_2219" name="tfa_2219" value="" title="Occupation" class=""></div> </div></td> </tr></table></div> <div class="htmlSection" id="tfa_3094"><div class="htmlContent" id="tfa_3094-HTML">At Impact Austin, we're dedicated to helping women achieve their full philanthropic capacity. An easy way to double your contribution is through employee giving programs. Search your company <a href="https://doublethedonation.com/impactaustin" target="_blank"><b>here</b></a> and follow the instructions to complete your corporate match. </div></div> <div class="oneField field-container-D labelsRemoved " id="tfa_2507-D" role="group" aria-labelledby="tfa_2507-L" data-tfa-labelledby="-L tfa_2507-L"><div class="inputWrapper"><span id="tfa_2507" class="choices vertical "><span class="oneChoice"><input type="checkbox" value="tfa_2508" class="" id="tfa_2508" name="tfa_2508" aria-labelledby="tfa_2508-L" data-tfa-labelledby="tfa_2507-L tfa_2508-L" data-tfa-parent-id="tfa_2507"><label class="label postField" id="tfa_2508-L" for="tfa_2508"><span class="input-checkbox-faux"></span> My employer will match my contribution</label></span></span></div></div> </div> <div id="tfa_2198" class="section inline group"> <label class="label preField" id="tfa_2198-L">How did you hear about Impact Austin?</label><br><div class="oneField field-container-D " id="tfa_2206-D"> <label id="tfa_2206-L" class="label preField " for="tfa_2206">Select Referral Source</label><br><div class="inputWrapper"><select id="tfa_2206" name="tfa_2206" title="Select Referral Source" class=""><option value="">Please select...</option> <option value="tfa_2207" id="tfa_2207" data-conditionals="#tfa_2215" class="">Member Referral</option> <option value="tfa_2208" id="tfa_2208" data-conditionals="#tfa_2216" class="">Recruitment Event</option> <option value="tfa_2209" id="tfa_2209" class="">Website/Newsletter</option> <option value="tfa_2211" id="tfa_2211" class="">Social Media</option> <option value="tfa_2212" id="tfa_2212" data-conditionals="#tfa_2213" class="">Other</option></select></div> </div> <div class="oneField field-container-D " id="tfa_2215-D"> <label id="tfa_2215-L" class="label preField " for="tfa_2215">Referred By</label><br><div class="inputWrapper"><input type="text" id="tfa_2215" name="tfa_2215" value="" data-condition="`#tfa_2207`" title="Referred By" class=""></div> </div> <div class="oneField field-container-D " id="tfa_2216-D"> <label id="tfa_2216-L" class="label preField " for="tfa_2216">Name of Event Host</label><br><div class="inputWrapper"><input type="text" id="tfa_2216" name="tfa_2216" value="" data-condition="`#tfa_2208`" title="Name of Event Host" class=""></div> </div> <div class="oneField field-container-D " id="tfa_2213-D"> <label id="tfa_2213-L" class="label preField " for="tfa_2213">Please describe </label><br><div class="inputWrapper"><input type="text" id="tfa_2213" name="tfa_2213" value="" data-condition="`#tfa_2212`" title="Please describe " class=""></div> </div> </div> <div id="tfa_2221" class="section group"> <label class="label preField" id="tfa_2221-L">Voluntary Self-Identification</label><br><div class="htmlSection" id="tfa_2232"><div class="htmlContent" id="tfa_2232-HTML"><div style="width: 600px; display: table;"> <div style="font-size: 13px; display: table-cell; text-align: left;"> Impact Austin's Diversity, Equity and Inclusion (DEI) efforts are designed to help us better represent the communities in which we operate. Any information you provide will be handled confidentially, and used in aggregate to track our progress toward our DEI goals. Please check the appropriate racial/ ethnic category: </div> <div></div></div></div></div> <div id="tfa_2231" class="section column group"><table class="columnLayout"><tr><td><div id="tfa_2513" class="section inline group"> <div class="oneField field-container-D " id="tfa_2222-D"> <label id="tfa_2222-L" class="label preField reqMark" for="tfa_2222">Select Racial / Ethnic Identity</label><br><div class="inputWrapper"><select aria-required="true" id="tfa_2222" name="tfa_2222" title="Select Racial / Ethnic Identity" class="required"><option value="">Please select...</option> <option value="tfa_2223" id="tfa_2223" class="">American Indian / Alaska Native</option> <option value="tfa_2224" id="tfa_2224" class="">Asian</option> <option value="tfa_2225" id="tfa_2225" class="">Black / African American</option> <option value="tfa_2226" id="tfa_2226" class="">White</option> <option value="tfa_2227" id="tfa_2227" class="">Hispanic</option> <option value="tfa_2228" id="tfa_2228" class="">Native Hawaiian / Pacific Islander</option> <option value="tfa_2636" id="tfa_2636" class="">Two or More categories</option> <option value="tfa_2229" id="tfa_2229" class="">I choose not to say</option></select></div> </div> <div class="oneField field-container-D labelsAbove hintsTooltip " id="tfa_2230-D"> <label id="tfa_2230-L" class="label preField " for="tfa_2230">Birth Year</label><br><div class="inputWrapper"> <input type="text" id="tfa_2230" name="tfa_2230" value="" autocomplete="off" maxlength="4" aria-describedby="tfa_2230-HH" min="1900" max="2999" title="Birth Year" class="validate-integer"><span class="field-hint-inactive" id="tfa_2230-H"><span id="tfa_2230-HH" class="hint">Please enter a 4 digit numerical year (e.g. 1968)</span><button id="tfa_2230-HH-close-button" class="field-hint-close-button" type="button" tabindex="-1" aria-hidden="true" aria-label="Close"> x </button></span> </div> </div> </div></td></tr></table></div> </div> </div> </div></div> <div class="wfPage" id="wfPgIndex-2"><div class="section pageSection" id="tfa_2303"> <div id="tfa_2496" class="section group"> <label class="label preField" id="tfa_2496-L">Membership</label><div class="htmlSection" id="tfa_2477"><div class="htmlContent" id="tfa_2477-HTML">Select an option below to pay your Annual Membership Fee either in a single payment or in 12 equal installments paid monthly. All contributions are tax deductible.</div></div> <div id="tfa_2988" class="section inline group"> <div class="oneField field-container-D labelsRemoved " id="tfa_2305-D" role="radiogroup" aria-labelledby="tfa_2305-L" data-tfa-labelledby="-L tfa_2305-L"><div class="inputWrapper"><span id="tfa_2305" class="choices horizontal required"><span class="oneChoice maskControl"><input type="radio" value="tfa_2307" class="calc-MEMFEE calcval-1250" checked data-default-value="true" id="tfa_2307" name="tfa_2305" aria-required="true" data-conditionals="#tfa_2318,#tfa_2499,#tfa_2326,#tfa_2986,#tfa_2999" aria-labelledby="tfa_2307-L" data-tfa-labelledby="tfa_2305-L tfa_2307-L" data-tfa-parent-id="tfa_2305"><label class="label postField" id="tfa_2307-L" for="tfa_2307"><span class="input-radio-faux"></span><b>Annual Membership Fee<br></b>$1,250 per year plus applicable credit card processing fees. This plan auto-renews annually until cancelled.</label></span><span class="oneChoice maskControl"><input type="radio" value="tfa_2358" class="calc-MEMFEE calcval-105" id="tfa_2358" name="tfa_2305" aria-required="true" data-conditionals="#tfa_2488,#tfa_2350,#tfa_2633,#tfa_2997,#tfa_3001" aria-labelledby="tfa_2358-L" data-tfa-labelledby="tfa_2305-L tfa_2358-L" data-tfa-parent-id="tfa_2305"><label class="label postField" id="tfa_2358-L" for="tfa_2358"><span class="input-radio-faux"></span><b>Annual Membership Fee (Monthly) </b><div><span style="font-size: 12.992px;">$105 per month plus applicable credit card processing fees. This plan auto-renews monthly until cancelled.</span></div></label></span></span></div></div> <div class="oneField field-container-D labelsRemoved " id="tfa_2986-D" role="group" aria-labelledby="tfa_2986-L" data-tfa-labelledby="-L tfa_2986-L"><div class="inputWrapper"><span id="tfa_2986" class="choices vertical " data-condition="`#tfa_2307`"><span class="oneChoice"><input type="checkbox" value="tfa_2987" class="calc-AUTORENEWA calcval-1" id="tfa_2987" name="tfa_2987" data-conditionals="#tfa_2999" aria-labelledby="tfa_2987-L" data-tfa-labelledby="tfa_2986-L tfa_2987-L" data-tfa-parent-id="tfa_2986"><label class="label postField" id="tfa_2987-L" for="tfa_2987"><span class="input-checkbox-faux"></span><p data-pm-slice="1 1 ["list",{},"list_item",{"indent":2,"type":"bulleted"}]"><b>Please do not enroll me in auto renewing annual membership payments.</b> </p></label></span></span></div></div> <div class="oneField field-container-D labelsRemoved " id="tfa_2997-D" role="group" aria-labelledby="tfa_2997-L" data-tfa-labelledby="-L tfa_2997-L"><div class="inputWrapper"><span id="tfa_2997" class="choices vertical " data-condition="`#tfa_2358`"><span class="oneChoice"><input type="checkbox" value="tfa_2998" class="calc-AUTORENEWB calcval-1" id="tfa_2998" name="tfa_2998" data-conditionals="#tfa_3001" aria-labelledby="tfa_2998-L" data-tfa-labelledby="tfa_2997-L tfa_2998-L" data-tfa-parent-id="tfa_2997"><label class="label postField" id="tfa_2998-L" for="tfa_2998"><span class="input-checkbox-faux"></span><span style="font-weight: 700; font-size: 15px;">Please do not enroll me in auto renewing annual membership payments.</span><span style="font-size: 15px;"> </span><span style="font-size: 15px;"> </span><span style="font-size: 15px;"><br></span></label></span></span></div></div> </div> <div class="htmlSection" id="tfa_3097"><div class="htmlContent" id="tfa_3097-HTML"><i>Impact Austin is committed to providing philanthropy-focused engagement opportunities to members and prospective members, with a goal of fostering a diverse and inclusive membership. To ensure that finances are not a barrier to participation, financial assistance through an Impactship is available to cover all or part of the membership dues. <b><a href="https://www.tfaforms.com/5091072" target="_blank">Apply for Financial Assistance here</a>. </b></i></div></div> </div> <div id="tfa_2317" class="section group"> <label class="label preField" id="tfa_2317-L">Donation</label><br><div class="htmlSection" id="tfa_2374"><div class="htmlContent" id="tfa_2374-HTML">Make a bigger impact by adding a donation to support the general operations and infrastructure required to support our staff, members, and volunteers.</div></div> <div id="tfa_2400" class="section inline group"> <div class="oneField field-container-D labelsRemoved " id="tfa_2488-D" role="radiogroup" aria-labelledby="tfa_2488-L" data-tfa-labelledby="-L tfa_2488-L"><div class="inputWrapper"><span id="tfa_2488" class="choices horizontal required" data-condition="`#tfa_2358`"><span class="oneChoice maskControl"><input type="radio" value="tfa_2489" class="calc-LEVEL calcval-0" id="tfa_2489" name="tfa_2488" aria-required="true" aria-labelledby="tfa_2489-L" data-tfa-labelledby="tfa_2488-L tfa_2489-L" data-tfa-parent-id="tfa_2488"><label class="label postField" id="tfa_2489-L" for="tfa_2489"><span class="input-radio-faux"></span>None</label></span><span class="oneChoice maskControl"><input type="radio" value="tfa_2490" class="calc-LEVEL calcval-20" checked data-default-value="true" id="tfa_2490" name="tfa_2488" aria-required="true" data-conditionals="#tfa_2617,#tfa_3001,#tfa_3012" aria-labelledby="tfa_2490-L" data-tfa-labelledby="tfa_2488-L tfa_2490-L" data-tfa-parent-id="tfa_2488"><label class="label postField" id="tfa_2490-L" for="tfa_2490"><span class="input-radio-faux"></span>$20</label></span><span class="oneChoice maskControl"><input type="radio" value="tfa_2491" class="calc-LEVEL calcval-40" id="tfa_2491" name="tfa_2488" aria-required="true" data-conditionals="#tfa_2617,#tfa_3001,#tfa_2386" aria-labelledby="tfa_2491-L" data-tfa-labelledby="tfa_2488-L tfa_2491-L" data-tfa-parent-id="tfa_2488"><label class="label postField" id="tfa_2491-L" for="tfa_2491"><span class="input-radio-faux"></span>$40</label></span><span class="oneChoice maskControl"><input type="radio" value="tfa_2492" class="calc-LEVEL calcval-80" id="tfa_2492" name="tfa_2488" aria-required="true" data-conditionals="#tfa_2617,#tfa_3001,#tfa_3020" aria-labelledby="tfa_2492-L" data-tfa-labelledby="tfa_2488-L tfa_2492-L" data-tfa-parent-id="tfa_2488"><label class="label postField" id="tfa_2492-L" for="tfa_2492"><span class="input-radio-faux"></span>$80</label></span><span class="oneChoice maskControl"><input type="radio" value="tfa_2493" class="calc-LEVEL calcval-200" id="tfa_2493" name="tfa_2488" aria-required="true" data-conditionals="#tfa_2617,#tfa_3001,#tfa_3028" aria-labelledby="tfa_2493-L" data-tfa-labelledby="tfa_2488-L tfa_2493-L" data-tfa-parent-id="tfa_2488"><label class="label postField" id="tfa_2493-L" for="tfa_2493"><span class="input-radio-faux"></span>$200</label></span><span class="oneChoice maskControl"><input type="radio" value="tfa_2494" class="calc-LEVEL calcval-400" id="tfa_2494" name="tfa_2488" aria-required="true" data-conditionals="#tfa_2617,#tfa_3001,#tfa_2398" aria-labelledby="tfa_2494-L" data-tfa-labelledby="tfa_2488-L tfa_2494-L" data-tfa-parent-id="tfa_2488"><label class="label postField" id="tfa_2494-L" for="tfa_2494"><span class="input-radio-faux"></span>$400</label></span><span class="oneChoice maskControl"><input type="radio" value="tfa_2495" class="calc-LEVEL calcval-0" id="tfa_2495" name="tfa_2488" aria-required="true" data-conditionals="#tfa_2373,#tfa_2617,#tfa_2999,#tfa_3001" aria-labelledby="tfa_2495-L" data-tfa-labelledby="tfa_2488-L tfa_2495-L" data-tfa-parent-id="tfa_2488"><label class="label postField" id="tfa_2495-L" for="tfa_2495"><span class="input-radio-faux"></span>Other</label></span></span></div></div> <div class="oneField field-container-D labelsRemoved " id="tfa_2318-D" role="radiogroup" aria-labelledby="tfa_2318-L" data-tfa-labelledby="-L tfa_2318-L"><div class="inputWrapper"><span id="tfa_2318" class="choices horizontal required" data-condition="`#tfa_2307`"><span class="oneChoice maskControl"><input type="radio" value="tfa_2378" class="calc-LEVEL calcval-0" id="tfa_2378" name="tfa_2318" aria-required="true" aria-labelledby="tfa_2378-L" data-tfa-labelledby="tfa_2318-L tfa_2378-L" data-tfa-parent-id="tfa_2318"><label class="label postField" id="tfa_2378-L" for="tfa_2378"><span class="input-radio-faux"></span>None</label></span><span class="oneChoice maskControl"><input type="radio" value="tfa_2319" class="calc-LEVEL calcval-250" checked data-default-value="true" id="tfa_2319" name="tfa_2318" aria-required="true" data-conditionals="#tfa_2617,#tfa_2999,#tfa_3012" aria-labelledby="tfa_2319-L" data-tfa-labelledby="tfa_2318-L tfa_2319-L" data-tfa-parent-id="tfa_2318"><label class="label postField" id="tfa_2319-L" for="tfa_2319"><span class="input-radio-faux"></span>$250</label></span><span class="oneChoice maskControl"><input type="radio" value="tfa_2320" class="calc-LEVEL calcval-500" id="tfa_2320" name="tfa_2318" aria-required="true" data-conditionals="#tfa_2617,#tfa_2999,#tfa_2386" aria-labelledby="tfa_2320-L" data-tfa-labelledby="tfa_2318-L tfa_2320-L" data-tfa-parent-id="tfa_2318"><label class="label postField" id="tfa_2320-L" for="tfa_2320"><span class="input-radio-faux"></span>$500</label></span><span class="oneChoice maskControl"><input type="radio" value="tfa_2321" class="calc-LEVEL calcval-1000" id="tfa_2321" name="tfa_2318" aria-required="true" data-conditionals="#tfa_2617,#tfa_2999,#tfa_3020" aria-labelledby="tfa_2321-L" data-tfa-labelledby="tfa_2318-L tfa_2321-L" data-tfa-parent-id="tfa_2318"><label class="label postField" id="tfa_2321-L" for="tfa_2321"><span class="input-radio-faux"></span>$1,000</label></span><span class="oneChoice maskControl"><input type="radio" value="tfa_2369" class="calc-LEVEL calcval-2500" id="tfa_2369" name="tfa_2318" aria-required="true" data-conditionals="#tfa_2617,#tfa_2999,#tfa_3028" aria-labelledby="tfa_2369-L" data-tfa-labelledby="tfa_2318-L tfa_2369-L" data-tfa-parent-id="tfa_2318"><label class="label postField" id="tfa_2369-L" for="tfa_2369"><span class="input-radio-faux"></span>$2,500</label></span><span class="oneChoice maskControl"><input type="radio" value="tfa_2370" class="calc-LEVEL calcval-5000" id="tfa_2370" name="tfa_2318" aria-required="true" data-conditionals="#tfa_2617,#tfa_2999,#tfa_2398" aria-labelledby="tfa_2370-L" data-tfa-labelledby="tfa_2318-L tfa_2370-L" data-tfa-parent-id="tfa_2318"><label class="label postField" id="tfa_2370-L" for="tfa_2370"><span class="input-radio-faux"></span>$5,000</label></span><span class="oneChoice maskControl"><input type="radio" value="tfa_2371" class="calc-LEVEL calcval-0" id="tfa_2371" name="tfa_2318" aria-required="true" data-conditionals="#tfa_2373,#tfa_2617" aria-labelledby="tfa_2371-L" data-tfa-labelledby="tfa_2318-L tfa_2371-L" data-tfa-parent-id="tfa_2318"><label class="label postField" id="tfa_2371-L" for="tfa_2371"><span class="input-radio-faux"></span>Other</label></span></span></div></div> <div class="oneField field-container-D labelsRightAligned " id="tfa_2373-D"> <label id="tfa_2373-L" class="label preField " for="tfa_2373"><b>Other amount:</b></label><div class="inputWrapper"><input type="text" id="tfa_2373" name="tfa_2373" value="" data-condition="`#tfa_2495` OR `#tfa_2371`" title="Other amount:" class="validate-integer calc-LEVEL"></div> </div> <div id="tfa_3012" class="section group" data-condition="`#tfa_2319` OR `#tfa_2490`"><div class="htmlSection" id="tfa_3013"><div class="htmlContent" id="tfa_3013-HTML"><div style="width: 660px; display: table;"> <div style="display: table-cell; text-align: right; padding-right: 0px;"><b>Friend ($250 </b><span style="font-weight: 700; font-size: 14.4px;"><small style="font-size: 11.52px;">annually</small></span><b style="font-size: 14.4px; word-spacing: normal;">)</b></div> </div> </div></div></div> </div> <div id="tfa_2386" class="section group" data-condition="`#tfa_2320` OR `#tfa_2491`"><div class="htmlSection" id="tfa_2387"><div class="htmlContent" id="tfa_2387-HTML"><div style="width: 660px; display: table;"> <div style="display: table-cell; text-align: right; padding-right: 0px;"><b>Saluting ($500 <small>annually</small>)</b></div> </div></div></div></div> <div id="tfa_3020" class="section group" data-condition="`#tfa_2321` OR `#tfa_2492`"><div class="htmlSection" id="tfa_3021"><div class="htmlContent" id="tfa_3021-HTML"><div style="width: 660px; display: table;"> <div style="display: table-cell; text-align: right; padding-right: 0px;"><b>Celebrating ($1,000 <small>annual</small>)</b></div> </div></div></div></div> <div id="tfa_3028" class="section group" data-condition="`#tfa_2369` OR `#tfa_2493`"><div class="htmlSection" id="tfa_3029"><div class="htmlContent" id="tfa_3029-HTML"><div style="width: 660px; display: table;"> <div style="display: table-cell; text-align: right; padding-right: 0px;"><b>Champion ($2,500 <small>annual</small>)</b></div> </div></div></div></div> <div id="tfa_2398" class="section group" data-condition="`#tfa_2370` OR `#tfa_2494`"><div class="htmlSection" id="tfa_2399"><div class="htmlContent" id="tfa_2399-HTML"><div style="width: 660px; display: table;"> <div style="display: table-cell; text-align: right; padding-right: 0px;"><b>Empowerment ($5,000 <small>annually</small>)</b></div> </div> </div></div></div> <div class="oneField field-container-D labelsAbove " id="tfa_2617-D" role="radiogroup" aria-labelledby="tfa_2617-L" data-tfa-labelledby="-L tfa_2617-L"> <label id="tfa_2617-L" class="label preField " data-tfa-check-label-for="tfa_2617"><span style="font-weight: 700; font-size: 14.4px;">Direct my donation to<span style="color: rgb(0, 0, 0); font-family: "Trebuchet MS", Arial, Helvetica, sans-serif; font-size: 14px;">:</span></span></label><br><div class="inputWrapper"><table id="tfa_2617" class="choices columns2 " data-condition="`#tfa_2490` OR `#tfa_2491` OR `#tfa_2492` OR `#tfa_2493` OR `#tfa_2494` OR `#tfa_2319` OR `#tfa_2320` OR `#tfa_2321` OR `#tfa_2369` OR `#tfa_2370` OR `#tfa_2495` OR `#tfa_2371`"> <tr> <td><span class="oneChoice"><input type="radio" value="tfa_2618" class="calc-ALLOCATION calcval-701d0000000VHOeAAO" checked data-default-value="true" id="tfa_2618" name="tfa_2617" aria-labelledby="tfa_2618-L" data-tfa-labelledby="tfa_2617-L tfa_2618-L" data-tfa-parent-id="tfa_2617"><label class="label postField" id="tfa_2618-L" for="tfa_2618"><span class="input-radio-faux"></span>No Preference</label></span></td> <td><span class="oneChoice"><input type="radio" value="tfa_2619" class="calc-ALLOCATION calcval-701d0000000VHOeAAO" id="tfa_2619" name="tfa_2617" aria-labelledby="tfa_2619-L" data-tfa-labelledby="tfa_2617-L tfa_2619-L" data-tfa-parent-id="tfa_2617"><label class="label postField" id="tfa_2619-L" for="tfa_2619"><span class="input-radio-faux"></span><a href="https://www.impactaustin.org/philanthropy-circle" target="_blank">Annual Fund - Philanthropy Circle</a></label></span></td> </tr> <tr> <td><span class="oneChoice"><input type="radio" value="tfa_2620" class="calc-ALLOCATION calcval-701d0000001ldvhAAA" id="tfa_2620" name="tfa_2617" aria-labelledby="tfa_2620-L" data-tfa-labelledby="tfa_2617-L tfa_2620-L" data-tfa-parent-id="tfa_2617"><label class="label postField" id="tfa_2620-L" for="tfa_2620"><span class="input-radio-faux"></span><a href="https://www.impactaustin.org/endowment" target="_blank">Rebecca Warren Powers Endowment</a></label></span></td> <td><span class="oneChoice"><input type="radio" value="tfa_2621" class="calc-ALLOCATION calcval-701d0000000VHOyAAO" id="tfa_2621" name="tfa_2617" aria-labelledby="tfa_2621-L" data-tfa-labelledby="tfa_2617-L tfa_2621-L" data-tfa-parent-id="tfa_2617"><label class="label postField" id="tfa_2621-L" for="tfa_2621"><span class="input-radio-faux"></span><span style="font-size: 14px;"><a href="https://www.impactaustin.org/girls-giving-grants" target="_blank">Girls Giving Grants</a></span></label></span></td> </tr> <tr><td><span class="oneChoice"><input type="radio" value="tfa_2622" class="calc-ALLOCATION calcval-701d0000000VHP3AAO" id="tfa_2622" name="tfa_2617" aria-labelledby="tfa_2622-L" data-tfa-labelledby="tfa_2617-L tfa_2622-L" data-tfa-parent-id="tfa_2617"><label class="label postField" id="tfa_2622-L" for="tfa_2622"><span class="input-radio-faux"></span>Donna Eastman Impactship Fund</label></span></td></tr> </table></div> </div> <div class="oneField field-container-D " id="tfa_2637-D"> <label id="tfa_2637-L" class="label preField " for="tfa_2637">How would you like your name listed on recognition pages?</label><br><div class="inputWrapper"><input type="text" id="tfa_2637" name="tfa_2637" value="" title="How would you like your name listed on recognition pages?" class=""></div> </div> <div id="tfa_3003" class="section inline group"> <div class="oneField field-container-D labelsRemoved " id="tfa_2999-D" role="group" aria-labelledby="tfa_2999-L" data-tfa-labelledby="-L tfa_2999-L"><div class="inputWrapper"><span id="tfa_2999" class="choices vertical " data-condition="`#tfa_2307` AND NOT (`#tfa_2987`) AND (`#tfa_2495` OR `#tfa_2370` OR `#tfa_2369` OR `#tfa_2321` OR `#tfa_2320` OR `#tfa_2319`)"><span class="oneChoice"><input type="checkbox" value="tfa_3000" class="calc-DONATIONOPTA calcval-1" id="tfa_3000" name="tfa_3000" aria-labelledby="tfa_3000-L" data-tfa-labelledby="tfa_2999-L tfa_3000-L" data-tfa-parent-id="tfa_2999"><label class="label postField" id="tfa_3000-L" for="tfa_3000"><span class="input-checkbox-faux"></span><p data-pm-slice="1 1 ["list",{},"list_item",{"indent":2,"type":"bulleted"}]"><b>I prefer for this donation to be a one-time payment.</b> Please do not add this donation to my auto renewing annual membership payments.</p></label></span></span></div></div> <div class="oneField field-container-D labelsRemoved " id="tfa_3001-D" role="group" aria-labelledby="tfa_3001-L" data-tfa-labelledby="-L tfa_3001-L"><div class="inputWrapper"><span id="tfa_3001" class="choices vertical " data-condition="`#tfa_2358` AND NOT (`#tfa_2998`) AND (`#tfa_2495` OR `#tfa_2494` OR `#tfa_2493` OR `#tfa_2492` OR `#tfa_2491` OR `#tfa_2490`)"><span class="oneChoice"><input type="checkbox" value="tfa_3002" class="calc-DONATIONOPTB calcval-1" id="tfa_3002" name="tfa_3002" aria-labelledby="tfa_3002-L" data-tfa-labelledby="tfa_3001-L tfa_3002-L" data-tfa-parent-id="tfa_3001"><label class="label postField" id="tfa_3002-L" for="tfa_3002"><span class="input-checkbox-faux"></span><p data-pm-slice="1 1 ["list",{},"list_item",{"indent":2,"type":"bulleted"}]"><b>I prefer for this extra donation to be added on for one year of membership payments.</b> Please do not add on this donation to auto renewing membership payments after my 12th payment is collected.</p></label></span></span></div></div> </div> </div> <div id="tfa_2497" class="section group"> <label class="label preField" id="tfa_2497-L">Payment Details</label><br><div id="tfa_2347" class="section group"> <div id="tfa_2505" class="section group"> <div class="htmlSection" id="tfa_2500"><div class="htmlContent" id="tfa_2500-HTML"><hr style="width:100%; padding:0px;margin:0px; border-top: 2px solid rgba(255,206,46,1);"></div></div> <div class="oneField field-container-D labelsRemoved hintsTooltip " id="tfa_2326-D" role="radiogroup" aria-labelledby="tfa_2326-L" data-tfa-labelledby="-L tfa_2326-L"><div class="inputWrapper"> <table id="tfa_2326" class="choices columns5 " data-condition="`#tfa_2307`"><tr> <td><span class="oneChoice"><input type="radio" value="tfa_2327" class="calc-METHOD calcval-CCNOW" checked data-default-value="true" id="tfa_2327" name="tfa_2326" data-conditionals="#tfa_2338,#tfa_2242" aria-labelledby="tfa_2327-L" data-tfa-labelledby="tfa_2326-L tfa_2327-L" data-tfa-parent-id="tfa_2326" aria-describedby="tfa_2326-HH"><label class="label postField" id="tfa_2327-L" for="tfa_2327"><span class="input-radio-faux"></span><b>Credit Card</b> (Now)</label></span></td> <td><span class="oneChoice"><input type="radio" value="tfa_2328" class="calc-METHOD calcval-CCLATER" id="tfa_2328" name="tfa_2326" data-conditionals="#tfa_2336" aria-labelledby="tfa_2328-L" data-tfa-labelledby="tfa_2326-L tfa_2328-L" data-tfa-parent-id="tfa_2326" aria-describedby="tfa_2326-HH"><label class="label postField" id="tfa_2328-L" for="tfa_2328"><span class="input-radio-faux"></span><b>Credit Card</b> (Later)</label></span></td> <td><span class="oneChoice"><input type="radio" value="tfa_2329" class="calc-METHOD calcval-CHECK" id="tfa_2329" name="tfa_2326" data-conditionals="#tfa_2430" aria-labelledby="tfa_2329-L" data-tfa-labelledby="tfa_2326-L tfa_2329-L" data-tfa-parent-id="tfa_2326" aria-describedby="tfa_2326-HH"><label class="label postField" id="tfa_2329-L" for="tfa_2329"><span class="input-radio-faux"></span><b>Check</b></label></span></td> <td><span class="oneChoice"><input type="radio" value="tfa_2330" class="calc-METHOD calcval-MATCH" id="tfa_2330" name="tfa_2326" data-conditionals="#tfa_2448" aria-labelledby="tfa_2330-L" data-tfa-labelledby="tfa_2326-L tfa_2330-L" data-tfa-parent-id="tfa_2326" aria-describedby="tfa_2326-HH"><label class="label postField" id="tfa_2330-L" for="tfa_2330"><span class="input-radio-faux"></span><b>Corp Match</b></label></span></td> <td><span class="oneChoice"><input type="radio" value="tfa_2331" class="calc-METHOD calcval-STOCK" id="tfa_2331" name="tfa_2326" data-conditionals="#tfa_2462" aria-labelledby="tfa_2331-L" data-tfa-labelledby="tfa_2326-L tfa_2331-L" data-tfa-parent-id="tfa_2326" aria-describedby="tfa_2326-HH"><label class="label postField" id="tfa_2331-L" for="tfa_2331"><span class="input-radio-faux"></span><b>Stock</b></label></span></td> </tr></table> <span class="field-hint-inactive" id="tfa_2326-H"><span id="tfa_2326-HH" class="hint">Pay Now by Credit Card or select another option to pay later.</span><button id="tfa_2326-HH-close-button" class="field-hint-close-button" type="button" tabindex="-1" aria-hidden="true" aria-label="Close"> x </button></span> </div></div> <div class="oneField field-container-D labelsRemoved hintsTooltip " id="tfa_2633-D" role="radiogroup" aria-labelledby="tfa_2633-L" data-tfa-labelledby="-L tfa_2633-L"><div class="inputWrapper"> <table id="tfa_2633" class="choices columns5 " data-condition="`#tfa_2358`"><tr> <td><span class="oneChoice"><input type="radio" value="tfa_2634" class="calc-METHOD calcval-CCNOW" checked data-default-value="true" id="tfa_2634" name="tfa_2633" data-conditionals="#tfa_2338,#tfa_2242" aria-labelledby="tfa_2634-L" data-tfa-labelledby="tfa_2633-L tfa_2634-L" data-tfa-parent-id="tfa_2633" aria-describedby="tfa_2633-HH"><label class="label postField" id="tfa_2634-L" for="tfa_2634"><span class="input-radio-faux"></span><b>Credit Card</b> (Now)</label></span></td> <td><span class="oneChoice"><input type="radio" value="tfa_2635" class="calc-METHOD calcval-CCLATER" id="tfa_2635" name="tfa_2633" data-conditionals="#tfa_2336" aria-labelledby="tfa_2635-L" data-tfa-labelledby="tfa_2633-L tfa_2635-L" data-tfa-parent-id="tfa_2633" aria-describedby="tfa_2633-HH"><label class="label postField" id="tfa_2635-L" for="tfa_2635"><span class="input-radio-faux"></span><b>Credit Card</b> (Later)</label></span></td> </tr></table> <span class="field-hint-inactive" id="tfa_2633-H"><span id="tfa_2633-HH" class="hint">Pay Now by Credit Card or select another option to pay later.</span><button id="tfa_2633-HH-close-button" class="field-hint-close-button" type="button" tabindex="-1" aria-hidden="true" aria-label="Close"> x </button></span> </div></div> <div class="htmlSection" id="tfa_2502"><div class="htmlContent" id="tfa_2502-HTML"><hr style="width:100%; padding:0px;margin:0px; border-top: 2px solid rgba(255,206,46,1);"></div></div> </div> <div class="oneField field-container-D labelsLeftAligned " id="tfa_2346-D"> <label id="tfa_2346-L" class="label preField reqMark" for="tfa_2346">Membership Fee:</label><div class="inputWrapper"> <div class="delimiter delimiterBefore" id="tfa_2346-DB">$</div> <input aria-required="true" type="text" id="tfa_2346" name="tfa_2346" value="" readonly title="Membership Fee:" class="validate-integer formula=Math.round(MEMFEE) calc-MEMBERSHIP readonly required"> </div> </div> <div class="oneField field-container-D labelsLeftAligned " id="tfa_2349-D"> <label id="tfa_2349-L" class="label preField reqMark" for="tfa_2349">Additional Contribution:</label><div class="inputWrapper"> <div class="delimiter delimiterBefore" id="tfa_2349-DB">$</div> <input aria-required="true" type="text" id="tfa_2349" name="tfa_2349" value="" readonly title="Additional Contribution:" class="validate-integer formula=Math.round(LEVEL) calc-DONATION readonly required"> </div> </div> <div class="oneField field-container-D labelsLeftAligned hintsTooltip " id="tfa_2338-D"> <label id="tfa_2338-L" class="label preField " for="tfa_2338">Credit Card Fees:</label><div class="inputWrapper"> <div class="delimiter delimiterBefore" id="tfa_2338-DB">$</div> <input type="text" id="tfa_2338" name="tfa_2338" value="" readonly aria-describedby="tfa_2338-HH" data-condition="`#tfa_2327` OR `#tfa_2634`" title="Credit Card Fees:" class="validate-float formula=Math.round((MEMBERSHIP+DONATION)*0.029) calc-FEES readonly"><span class="field-hint-inactive" id="tfa_2338-H"><span id="tfa_2338-HH" class="hint">In order to process gifts made via credit card, Impact Austin works with a payment processor that charges us a required fee of 2.9% per gift.</span><button id="tfa_2338-HH-close-button" class="field-hint-close-button" type="button" tabindex="-1" aria-hidden="true" aria-label="Close"> x </button></span> </div> </div> <div class="oneField field-container-D labelsLeftAligned " id="tfa_2350-D"> <label id="tfa_2350-L" class="label preField " for="tfa_2350"><b>Total Due Today: </b></label><div class="inputWrapper"> <div class="delimiter delimiterBefore" id="tfa_2350-DB">$</div> <input type="text" id="tfa_2350" name="tfa_2350" value="" readonly data-condition="`#tfa_2358`" title="Total Due Today: " class='validate-integer formula=if(METHOD=="CCNOW"){parseInt(MEMBERSHIP)+parseInt(DONATION)+parseInt(FEES)}else{parseInt(MEMBERSHIP)+parseInt(DONATION)} calc-AMOUNT readonly'><div class="delimiter delimiterAfter" id="tfa_2350-DA">per month</div> </div> </div> <div class="oneField field-container-D labelsLeftAligned " id="tfa_2499-D"> <label id="tfa_2499-L" class="label preField " for="tfa_2499"><b>Total Due Today: </b></label><div class="inputWrapper"> <div class="delimiter delimiterBefore" id="tfa_2499-DB">$</div> <input type="text" id="tfa_2499" name="tfa_2499" value="" readonly data-condition="`#tfa_2307`" title="Total Due Today: " class='validate-float formula=if(METHOD=="CCNOW"){parseInt(MEMBERSHIP)+parseInt(DONATION)+parseInt(FEES)}else{parseInt(MEMBERSHIP)+parseInt(DONATION)} calc-AMOUNT readonly'><div class="delimiter delimiterAfter" id="tfa_2499-DA">annually</div> </div> </div> </div> <div class="htmlSection" id="tfa_2519"><div class="htmlContent" id="tfa_2519-HTML"><hr style="width:100%; padding:0px;margin:0px; border-top: 2px solid rgba(255,206,46,1);"></div></div> </div> <div id="tfa_2242" class="section column group" data-condition="`#tfa_2327` OR `#tfa_2634`"> <label class="label preField" id="tfa_2242-L">Credit Card (Pay Now)</label><br><table class="columnLayout"><tbody><tr> <td id="tfa_2419"> <div class="oneField field-container-D " id="tfa_2243-D"> <label id="tfa_2243-L" class="label preField reqMark" for="tfa_2243">Name on Card</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_2243" name="tfa_2243" value="" title="Name on Card" class="required"></div> </div> <div class="oneField field-container-D " id="tfa_2244-D"> <label id="tfa_2244-L" class="label preField reqMark" for="tfa_2244">Card Number</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_2244" name="tfa_2244" value="" autocomplete="off" placeholder="●●●●●●●●●●●●●●●●" title="Card Number" class="validate-custom /^[0-9]*$/ required"></div> </div> <div class="htmlSection" id="tfa_2416"><div class="htmlContent" id="tfa_2416-HTML"><img style="max-width: 100%;width: 200px;float:left;" alt="Credit Cards Accepted" src="//www.tfaforms.com/forms/get_image/216226/sfyzGlcBKl1fQocPgfdW22CjmE2AjYPVAyI1kbrskxLKKlu29F21B4Yf44vBUYdM-credit-card-icons.png"></div></div> </td> <td id="tfa_2625"> <div class="oneField field-container-D " id="tfa_2249-D"> <label id="tfa_2249-L" class="label preField reqMark" for="tfa_2249">Billing Email</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_2249" name="tfa_2249" value="" autocomplete="off" title="Billing Email" class="validate-email required"></div> </div> <div id="tfa_2626" class="section inline group"> <div class="oneField field-container-D " id="tfa_2246-D"> <label id="tfa_2246-L" class="label preField reqMark" for="tfa_2246">MM</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_2246" name="tfa_2246" value="" placeholder="MM" min="1" max="12" title="MM" class="validate-integer required"></div> </div> <div class="oneField field-container-D " id="tfa_2247-D"> <label id="tfa_2247-L" class="label preField reqMark" for="tfa_2247">YY</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_2247" name="tfa_2247" value="" placeholder="YY" maxlength="2" min="0" max="9999" title="YY" class="validate-integer required"></div> </div> <div class="oneField field-container-D " id="tfa_2248-D"> <label id="tfa_2248-L" class="label preField reqMark" for="tfa_2248">Code</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_2248" name="tfa_2248" value="" autocomplete="off" placeholder="●●●" title="Code" class="required"></div> </div> </div> <div class="htmlSection" id="tfa_2521"><div class="htmlContent" id="tfa_2521-HTML"><img style="max-width: 100%;width: 125px;float:right;" alt="Your data is protected by SSL" src="//www.tfaforms.com/forms/get_image/216226/GZJIw3wTwkXxSrwscmO5QoSkXQkwayBTlfahVUrqKnyxxppK5OvqOICpJD6KYyDO-security-icon.png"></div></div> </td> </tr></tbody></table> </div> <div id="tfa_2250" class="section group"><div id="tfa_2337" class="section group"> <div id="tfa_2336" class="section group" data-condition="`#tfa_2328` OR `#tfa_2635`"> <label class="label preField" id="tfa_2336-L">Instructions: Credit Card (Pay Later)</label><br><div id="tfa_2406" class="section highlighted group"><div class="htmlSection" id="tfa_2253"><div class="htmlContent" id="tfa_2253-HTML">You can make your payment via <b>Credit Card</b> any time by visiting the donate page <strong><a target="_blank" href="https://www.tfaforms.com/4856134">here</a></strong>. <br><br>Please note that there is a 2.9% processing fee for membership donations made via credit card.<br> <br><br><font style="color:#000000">Click the <strong>Finalize Registration</strong> button to complete your membership.</font></div></div></div> </div> <div id="tfa_2430" class="section group" data-condition="`#tfa_2329`"> <label class="label preField" id="tfa_2430-L">Instructions: Check</label><br><div id="tfa_2434" class="section group"><div class="htmlSection" id="tfa_2435"><div class="htmlContent" id="tfa_2435-HTML"><span style="font-size: 14.4px;">To pay membership dues via a <b>Check</b>, p</span>lease send a check payable to "Impact Austin" for $1,250 to: <br><br><blockquote style="margin: 0 0 0 40px; border: none; padding: 0px;"><b>Impact Austin</b><br>P.O. Box 28148<br>Austin, TX 78755. </blockquote><br>To pay using a donor-advised fund or charitable investment account, please note that Impact Austin's EIN is 56-2367666.</div></div></div> </div> <div id="tfa_2448" class="section group" data-condition="`#tfa_2330`"> <label class="label preField" id="tfa_2448-L">Instructions: Corporate Match</label><br><div id="tfa_2452" class="section group"><div class="htmlSection" id="tfa_2453"><div class="htmlContent" id="tfa_2453-HTML">To pay membership dues through a <b>Corporate Match</b>, search your company <a href="http://doublethedonation.com/impactaustin" target="_blank"><b>here</b></a> and follow the instructions to complete your corporate match. <br><br>Please reach out to <a href="mailto:contact@impactaustin.org">contact@impactaustin.org</a> for any support you might need during the corporate matching process.</div></div></div> </div> <div id="tfa_2462" class="section group" data-condition="`#tfa_2331`"> <label class="label preField" id="tfa_2462-L">Instructions: Stock</label><br><div id="tfa_2466" class="section group"><div class="htmlSection" id="tfa_2467"><div class="htmlContent" id="tfa_2467-HTML">To pay membership dues with <b>Stock</b> please view the instructions <a href="https://a4f94fe0-42cc-439a-9c2b-b45fe0494c48.filesusr.com/ugd/3ffe7a_5ec6d291a2ca4f10a301b416a3696c9d.pdf" target="_blank"><b>here</b></a>. We will be in touch to support you through this process.<br><br><span style="margin: 0px; padding: 0px; border: 0px; outline: 0px; vertical-align: baseline; background: 0px 0px; color: rgb(0, 0, 0); font-size: 15px; text-align: center; font-family: helvetica-w01-light, helvetica-w02-light, sans-serif;"><span class="color_11" style="margin: 0px; padding: 0px; border: 0px; outline: 0px; vertical-align: baseline; background: 0px 0px; color: rgb(255, 255, 255);"><span style="margin: 0px; padding: 0px; border: 0px; outline: 0px; vertical-align: baseline; background: 0px 0px;">Please note that </span></span></span><span style="margin: 0px; padding: 0px; border: 0px; outline: 0px; vertical-align: baseline; background: 0px 0px; color: rgb(0, 0, 0); font-size: 15px; text-align: center; font-family: helvetica-w01-light, helvetica-w02-light, sans-serif;"><span class="color_11" style="margin: 0px; padding: 0px; border: 0px; outline: 0px; vertical-align: baseline; background: 0px 0px; color: rgb(255, 255, 255);">Membership dues paid with stock are $1,300, as we pay a $50 service fee to Austin Community Foundation for the transaction. </span></span></div></div></div> </div> <div class="htmlSection" id="tfa_2516"><div class="htmlContent" id="tfa_2516-HTML"><hr style="width:100%; padding:0px;margin:0px; border-top: 2px solid rgba(30,85,123,1);"></div></div> </div></div> <div class="oneField field-container-D wf-acl-hidden" id="tfa_2354-D"> <label id="tfa_2354-L" class="label preField " for="tfa_2354">CAMPAIGN ID</label><br><div class="inputWrapper"><input type="text" id="tfa_2354" name="tfa_2354" value="" readonly title="CAMPAIGN ID" class='formula=if(LEVEL!=0){ALLOCATION}else{"701d0000000VHOeAAO"} calc-CAMPAIGN readonly'></div> </div> <input type="hidden" id="tfa_2503" name="tfa_2503" value="" class='formula=if(MEMFEE=="105"){"MONTHLY"}else{"ANNUAL"} calc-FREQUENCY'><input type="hidden" id="tfa_3005" name="tfa_3005" value="" class='formula=if(AUTORENEWA=="1"){"FALSE"}else{if(AUTORENEWB=="1"){"FALSE"}else{"TRUE"}}; calc-AUTORENEW'><input type="hidden" id="tfa_3007" name="tfa_3007" value="" class="formula=MEMBERSHIP+FEES calc-MEMBERSHIPAMT"><input type="hidden" id="tfa_3006" name="tfa_3006" value="" class="formula=DONATION calc-DONATIONAMT"><input type="hidden" id="tfa_3008" name="tfa_3008" value="" class='formula=if(AUTORENEWA=="1"){"FALSE"}else{if(AUTORENEWB=="1"){"FALSE"}else{if(AUTORENEWA=="0"&&DONATIONOPTA=="1"){"FALSE"}else{if(AUTORENEWB=="0"&&DONATIONOPTB=="1"){"FALSE"}else{"TRUE"}}}}; 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