2024 IMPAC Donation


Raise the Bar for IMPAC!

As your physician advocate, IMS must play an active role at the statehouse every day that the legislature in session. With generous contributions from friends of medicine, we can effectively forge relationships with state and national policy makers throughout the year to protect the interests of our physician members and greater medical community. Please fill out the form below to contribute to IMPAC in 2024!


2024 IMPAC Donation
$30,273.00 raised of $50,000.00 goal
Personal Information
Edit
Have a login? Login Now
Logged in as {{Environment.CurrentUserData.DisplayName}}
Log Out
Continue
Amount Details
Edit
Item Amount Frequency Start Date End Date Total
{{itemPledgeItems.Description}}
(Minimum Amount: {{itemPledgeItems.ExtraOptions.MinimumPrice | currency}})
Amount
The minimum amount is {{itemPledgeItems.ExtraOptions.MinimumPrice | currency}} The maximum amount is {{itemPledgeItems.ExtraOptions.MaximumPrice | currency}}
Frequency
Start Date
End Date
The max end date is {{formattedMaxEndDate(itemPledgeItems)}}.
Total
Continue
Additional Information
Edit
Continue
Contact Information
Edit

{{Environment.ContactInfoInstructions}}

Continue
Payment
Edit
Please ensure all fields on the form are filled out correctly