Lifetime Member Registration Form

Would you like to register as an:

Your Name

First NameLast Name

Email

example@example.com

Additional Adult Family Member (to be included in the family membership)

First NameLast Name

Email Address for Additional Adult Family Member (if they would like to receive communications directly)

example@example.com

Full names of any children or other family members you wish to have included on the Elmer's membership list!

Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

What's your relationship to Elmer's and Ashfield?

Other

Why are you excited to join the Elmer's Community?

Choose either INDIVIDUAL or FAMILY Membership below, then select the amount you are able to pay for your one-time membership fee.

Elmer's INDIVIDUAL Membership - Sliding Scale

The full fee for INDIVIDUAL membership is $99. Or pay what you can! Choose the amount you're able to contribute below. If you would like to apply a prior donation towards membership, choose the last drop down item.

$99.00 Quantity
Item subtotal:

Elmer's FAMILY Membership - Sliding Scale

The full fee for FAMILY membership is $199. Or pay what you can! Choose the amount you're able to contribute below. If you would like to apply a prior donation towards membership, choose the last drop down item.

$199.00 Quantity

Total

Payment Methods

Credit Card

Apple Pay

Google Pay

Lifetime Member Registration Form

Choose either INDIVIDUAL or FAMILY Membership below, then select the amount you are able to pay for your one-time membership fee.*

Payment Methods

Choose either INDIVIDUAL or FAMILY Membership below, then select the amount you are able to pay for your one-time membership fee.