Eastside Village. A community of seniors supporting each other as they age in their own homes

First name

Last name

email

Phone

Cell phone

Number

Street

City

State

Zip Code

Office Volunteer: for 12 months

Social Individual Qtrly Payments: for 12 months

Service Couple Qtrly Payments: for 12 months

Service Individual Qrtly Payments: for 12 months

Village CE Administrator: for 12 months

Social Couple Qtrly Payments: for 12 months

Discount Full Service Member Monthly ACH 50%: $22.50 per month for 12 months

Social Individual Monthly ACH - No Fees: $25.00 per month for 12 months

Social Couple Monthly Payments: $42.00 per month for 12 months

Full Service Individual Monthly ACH - No Fees: for 12 months ($45.00/mo if paid monthly)

Full Service Couple Monthly ACH - no fees: $65.00 per month for 12 months

Discount Social Individual - Monthly at 80% ACH: $5.00 per month for month

Discount Full Service Individual - Monthly at 80% ACH: $9.00 per month for month

Discount Social Individual - Quarterly at 50%: $37.50 for 3 months

Discount Full Service Individual Annually - 80%: $108.00 for 12 months

Discount Social Member - Annual at 50%: $150.00 for 12 months

Discount Full Service Individual - Annual at 50%: $270.00 for 12 months

Social Individual - Annual Payment: $300.00 for 12 months

Social Couple - Annual Payment: $500.00 for 12 months

Service Individual Founding: $540.00 for 12 months

Full Service Individual - Annual: $540.00 for 12 months

Full Service Couple - Annual: $780.00 for 12 months

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 and we will be in touch with you very soon!

Membership Information Request