Becoming a Member

Thank you for your consideration in joining Impact 100 Oakland County. Please select whether you are a new or current member and complete the below form in its entirety. If you are interested in volunteering time, or talent, please select the volunteer option box below and check all items that apply.

Dues options are also presented below. Please note that by submitting payment online via credit card you will incur a processing fee via Square. You will receive a receipt via email once your transaction is processed.

Please contact us at if you have questions or concerns.

Thank you for your generous gift that will have a tremendous impact on our county.

Membership Sign Up

Contact Information

Areas of Interest

Membership Dues


Helps with administrative expenses



This option includes my membership plus $100 for expenses.

Review Details

Individual one-year membership


Square payment processing fee


Additional Donation


Volunteer interests


Total amount


Pay by Check

Please make your check payable to:

Impact100 Oakland County

Mail check to:

33717 Woodward Avenue, #505, Birmingham, MI 48009

Pay with Square


What is required of a member?

Member involvement in Impact100 is always encouraged and greatly appreciated. All members will show their financial support and, therefore, be eligible to vote for the grant recipient. However, some members will want to lend their expertise to volunteer their time and involvement may vary by member.

Because the full $1,000 donation goes to the grant recipient, Impact100 relies on its membership to market, organize and run the organization.

Some members may wish to serve on one of the five committees (one for each area of focus) to help determine which organizations will be put forth as finalists, while others may only be able to provide their dues and vote for the organization they believe is most deserving.

Impact100 is accepting membership applications for 2019.
If you are interested in applying for membership, please complete the above form and pay via credit card or send a check for $1,000 to:
Impact100 Oakland County, 33717 Woodward Avenue, #505, Birmingham, MI 48009  |