Membership Application Form

Complete and submit online or download and print this form (click here) and mail to:

Neighbors Network
P.O. Box 941417
Maitland, FL 32751

A Neighbors Network representative will follow up with you soon to answer your questions and complete the application process.

Questions? E-mail annette@neighborsnetworkfl.org or Call (321) 209-2775












Member #1:
Gender:

-

Member #2:
Gender:


Membership Fee: Annual Individual: $375 ($300) Annual Household: $500 ($400)

NOTE: Enjoy a 20% discount when membership is paid annually
Quarterly Individual: $93.75 Quarterly Household: $125
YMCA members* receive a $100 annual Neighbors Network discount

How many people will be included in this Membership? (required)
How do you want to pay for your Membership? (required)
How do you want to make your payments? (required)

Notes:
(* YMCA members: $100.00 off your annual membership: $275 individuals, $400 household, payable annually only)
(** Call us to provide your credit card information.)