Help, I'm Not Okay — Membership Sign-Up
Join the weekly Scripture-based conversation and confirm your recurring membership details.
Full Name
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First Name
Last Name
Email Address
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example@example.com
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
What's Included
Membership is billed monthly at $4.95 per month. Billed monthly. Cancel anytime.
Membership Payment — $4.95/mo
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Help I'm Not Okay Monthly Membership
$4.95
$
4.95
for each
month
Email
Debit or Credit Card
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
HELP, I'M NOT OKAY — MEMBERSHIP AGREEMENT, DISCLOSURE & TERMS
6. Membership Fees and Billing
Membership is billed monthly at $4.95 per month. Billed monthly. Cancel anytime. Membership renews automatically and the Member's payment method will be charged automatically starting at signup until cancelled. Prices are subject to change with 30 days' notice for future billing cycles.
I have read and agree to the Program Disclaimer & Release of Liability above.
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I have read and agree
Type your full legal name as your electronic signature
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Type your full legal name as your electronic signature
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Signature
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Date Signed
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Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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