Olympia Area Village Membership Form

Welcome!

We are so glad you're interested in becoming a member of Olympia Area Village. Please read through these instructions and complete the steps below to begin the process. If you have any questions or would like assistance with completing this form or paying your dues, please contact Ellen Wendt at 507-327-1317 or [email protected].

Membership options: full fee dues are $200 per person per year. For those unable to pay this amount, there are two additional options of $120 and $60 per person per year.

1. Please review the Membership Agreement and attest that you agree to the conditions here. Once you submit the attestation, if you click the back arrow two times you can return to this page.

2. Please complete the questions below. Some of these questions may surprise you, but the answers (used anonymously) are essential when OAV applies for grants to show that overall, OAV serves a diverse population. Please know that the answers to all questions except name, email, address and membership type are optional. Once completed, be sure to confirm consent at the bottom of this form and click on the SEND button.

3. Please pay for membership. At the top right corner of any page on this website you can click on the DONATE NOW button. That will take you to a page where you will scroll down to the DONATION AMOUNT box and write in the dues amount that you have chosen (the dollar sign will auto-fill). Skip the monthly donation box and then fill in your name and address, skip the fundraising box and scroll down to COMMENTS. In this box type ‘for yearly membership’. Finally scroll to PAYMENT METHOD—put in your credit card number to pay by credit or debit. If you wish to pay with something other than a credit card, please indicate this in the comment box.

Once you have attested to the Membership Agreement, completed this form and made payment, you'll receive an email from the Village acknowledging your payment. The Village will run a background check and once cleared, you'll receive a welcome email with instructions for engaging with other Village members and learning about the members-only portion of our website.

First name

Last name

Phone

Cell phone

Date of birth

Marital status

Gender

Sexual orientation

Ethnicity

Number

Street

City

State

Zip Code

Available Membership Options

Individual - Reduced Fee: $60.00 for 12 months

Individual - Reduced fee : $120.00 for 12 months

Individual - Full Fee: $200.00 for 12 months

First emergency contact name

First emergency contact cell phone

First emergency contact phone

First emergency contact email

First emergency contact address

First emergency contact relationship

Second emergency contact name

Second emergency contact cell phone

Second emergency contact phone

Second emergency contact email

Second emergency contact address

Second emergency contact relationship

Your interests what do you love doing

Special expertise

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!