Membership Information Request

Thank you for your interest in joining the FBWE Village! Please fill out the form below to note your interest. After your form is received a staff member will reach out to finalize your application and see how the village can best meet your needs.

First name

Last name

Phone

Cell phone

Number

Street

City

State

Zip Code

Available Membership Options

Reduced Fee Membership Individual: $100.00 for 12 months

Reduced Fee Member - Household: $150.00 for 12 months

3 Month Temporary Membership: $157.50 for 3 months

Individual Neighbors Away: $200.00 for 24 months

Household Neighbors Away: $400.00 for 24 months

Individual Standard:$630.00 for 12 months ($52.50/mo if paid monthly)

Individual Social:$630.00 for 12 months ($52.50/mo if paid monthly)

Household Standard: $945.00 for 12 months

Household Social: $945.00 for 12 months

Individual Social - 3 Year: $1,590.00 for 36 months

Individual Standard - 3 Year: $1,590.00 for 36 months

Household Standard - 3 year: $2,535.00 for 36 months

Household Social - 3 Year: $2,535.00 for 36 months

How did you hear about us

What interested becoming member

Additional Comments

I confirm that I have read, consent and agree to Revolutionaging’s (Helpful Village’s) TERMS OF USE and PRIVACY POLICY

Thank you for your interest

Thank you for your interest and we will be in touch with you very soon!

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