Membership Application

Membership Application

Membership Level:

Winni Friend/Family

Winni Watcher

Winni Steward

Winni Protector

Winni Guardian

Other Amount:

First Name: Last Name: Email: Email 2: Home Phone: Mobile Phone: Home Address: City: State: Zip: - Summer Address Line 1 Summer Address Line 2 Summer City

Go Green!

By checking the box, your membership will be automatically renewed each year, saving our organization the costs associated with mailings.

Please automatically renew my membership each year.

If you would like to manage your Neon CRM account (i.e., view donation history, renew membership, etc.), please create a login name and password below. Your password must be at least eight characters long, and contain at least one number.