Membership Information Request

Membership in the Village is intended for those living south of Piney Branch Parkway, west of 16th Street N.W., north of Columbia Road N.W., and east of Adams Mill Road N.W. (Boundary Map)

Please fill out this form to let us know you are interested in applying for Mount Pleasant membership. Please note this is not the official membership application. Once you have filled out and submitted this form, you will be sent a membership application form via email with instructions on how to complete the application process.

First name

Last name

Phone

Cell phone

Number

Street

City

State

Zip Code

Available Membership Options

Waiver Member: $0.00 for 12 months

Individual: $50.00 for 12 months

Household: $100.00 for 12 months

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!