Home » ImPACT School Packages » School Package Form Order school packagesDouble checking: Are you an ImPACT Applications existing customer?*YesNoIf you are an existing customer, please don't use this form. Email us at support@impacttest.com with your renewal, invoicing, or any other requests.1. BILLING ADDRESSOrganization*Name* First Last Position/Title*Email* Phone*Address* Street Address Address Line 2 City SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code 2. PAYMENT METHODSelect your payment typeCredit CardBill me laterCredit CardAmerican ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20202021202220232024202520262027202820292030203120322033203420352036203720382039 Expiration Date Security Code Cardholder Name 3. SELECT YOUR PLANChoose Your Yearly PackagePrice per High School / College / Sports League Per Year200 Baseline with 10 Post-Injury Tests - $435.00400 Baseline with 10 Post-Injury Tests - $655.00600 Baseline with 25 Post-Injury Tests - $875.001,00 Baseline with 25 Post-Injury Tests - $1,300.00Choose Your Yearly PackagePrice per High School / College / Sports League Per Year200 Baseline with 10 Post-Injury Tests - $435.00400 Baseline with 10 Post-Injury Tests - $655.00600 Baseline with 25 Post-Injury Tests - $875.001,000 Baseline with 25 Post-Injury Tests - $1,300.00Referral Code Total $0.00 Terms and conditions*We reserve the right of sending periodic communications from ImPACT Applications. I've read and accept the terms and conditions.CAPTCHATransaction ID