Want to Learn More About Village Membership?

Fill out this form and a village volunteer will contact you to scheduling a time to provide information and answer questions.

The steps taken to become a village member include:

First name

Last name

Phone

Cell phone

Allow text messages from Rivers East Village?

Date of birth

Marital status

Gender

Number

Street

City

State

Zip Code

Support: $60.00 for 12 months

Flex: $25.00 per month for 12 months

Full: $45.00 per month for 12 months

First pet species

First pet breed

First pet name

First pet date of birth

Second pet species

Second pet breed

Second pet name

Second pet date of birth

Current Health

Mobility issues

Special needs

Home type

Employment status

How did you hear about us

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!