Membership Application

BECOME A MEMBER

Becoming a member of Home in Hilliard is simple. If you want to remain in your home, in the neighborhood you love, and close to the people who matter most, membership may be right for you.

Individual: $25 monthly / $300 annually Couple: $37.50 monthly / $450 annually

With Home in Hilliard as your partner, you can maintain control over your life, remain in your home, and continue engaging with the community you love. Members receive practical support and neighbor-to-neighbor assistance that helps make everyday living easier, safer, and more manageable.

First name

Last name

Phone

Cell phone

Number

Street

City

State

Zip Code

Available Membership Options

Individual: for 12 months

Household: for 12 months

Individual - monthly: for month

Household - monthly: for month

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!