Word Format
Webpage Format
PDF Format
STEP 4 - Once completed, please either mail or fax the form to:
Impulse Communications, Inc.
14525 SW Millikan #56742
Beaverton, OREGON 97005-2343
Fax: 1-866-824-9384
If you have any questions regarding the COPPA form please e-mail eric@impulsecorp.com.