Member Signup Step 1:
Enter Member Information

An Individual membership is $29.00 and you may order up to 2 additional cards for household family members for $10.00 each.

Select Quantity Select how many members you wish to enter: 1 2 3   Main Member Information   Paying by check? Complete this page and continue to the next step. On the next step you will have the option to print out an order form and information about how to mail you order in.   Paying with a credit card? Follow the Member Signup Steps.You will be directed to the Payment page. (fields in red required) First Name: Last Name: Address 1 Address 2 Zip City State Armed Forces - Americas Armed Forces - Europe Alabama Arkansas Connecticut District of Columbia Delaware Florida Georgia Iowa Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New York Ohio Oklahoma Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Virginia Virgin Islands Vermont Wisconsin West Virginia Email:   10% of your membership fee will be donated to charity. Please select one from the list below:  Alzheimer's Services of Cape Cod & the Islands  Big Brothers Big Sisters of Cape Cod & the Islands Cape Cod Health Care        VNA        Falmouth Hospital        Cape Cod Hospital  Cape & Islands United Way  Community Action Committee for Cape Cod & Islands  Housing Assistance Corporation  MSPCA Cape Cod  Other  None   Family Household Member Information ($10.00) First Name: Last Name: Email: [optional]   Family Household Member Information ($10.00) First Name: Last Name: Email: [optional]