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Amount
*
$10,000
-
Wellspring Circle
$5,000
-
Wellspring Circle
$2,500
-
Wellspring Circle
$1,000
-
Wellspring Circle
$500
-
Contributing Member
$300
-
Contributing Member
$150
-
Contributing Member
$75
-
Family
$45
-
Individual
$10
-
Student
$
Membership Dues Schedule
One Time
Monthly
Quarterly
Yearly
Continue recurring payments until
(mm/dd/yyyy)
Is this a new or renewing membership?
*
New Member
Renewing Member
Membership Comment
Contact Information
Name
*
First Name
Last Name
Additional name on membership
First Name
Last Name
Phone
Email
Verify Email
Would you like to be added to our email list?
*
Yes
No
I am already on your email list
Mailing Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Is this a seasonal address?
select one
Summer
Winter
When should we mail to this address?
Would you like to add another address?
Yes
No
Address 2
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
When should we mail to this address?
For second address
Would you be interested in learning more about volunteer opportunities?
Yes please
Not at this time
Add 3% to my total amount to help cover the payment processing fees