Membership Information Request

Please enter the information below and click Send. You will be contacted by the Membership team who can answer any additional questions. The full Membership application and a site visit at your home must be completed before you can be approved for membership.

First name

Last name

Phone

Cell phone

Number

Street

City

State

Zip Code

Available Membership Options

Member - Individual (Monthly Payments): $25.00 per month for 12 months

Member Household (Monthly Payments): $42.00 per month for 12 months

Trial Member Plus - Individual: $135.00 for 3 months

Trial Member Plus Household: $270.00 for 3 months

Member - Individual (Annual Payment): $300.00 for 12 months

Member - Individual (Limited Services): $300.00 for 12 months

Member - Household (Annual Payment): $500.00 for 12 months

Member Plus - Individual (Annual Payment): $540.00 for 12 months

Member Plus - Individual (Monthly Payments): $45.00 per month for 12 months

Member Plus - Household (Annual Payment): $780.00 for 12 months

Member Plus - Household (Monthly Payments): $65.00 per month for 12 months

Member Plus - Three Person Household:$1,020.00 for 12 months ($85.00/mo if paid monthly)

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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