Membership Information Request

We are excited that you are interested in joining Lancaster Downtowners!

Information you provide on this form will not be shared with anyone outside Lancaster Downtowners leadership and staff. We will only use your email address to share information with you relevant to the mission and services of Lancaster Downtowners. Membership entitles participation in all Downtowner planned events and services.

The programs and services of the Lancaster Downtowners are supported in part by Membership Dues, which are determined based on household size and self-reported income. Dues can be paid one-time annually or in automated monthly installments.

Standard annual dues are $200 per person, with discounts available based on income, household size, and grant-funded partnerships. At the standard rate members have access to all Downtowner benefits for about $17 a month.

Soon after enrolling for membership via this online form, you will receive a call from our office to confirm your membership type and annual dues. After payment is received, someone from our Membership Committee will be in touch to welcome you to our group with a one-on-one visit. If you have any questions, please contact the office at 717-584-1224.

Your Information

First name

Last name

Phone

Cell phone

Date of birth

Marital status

Gender

Sexual orientation

Ethnicity

Address

Number

Street

City

State

Zip Code

Available Membership Options

H'hold of two -12 months: $400.00 for 12 months ($28.67/mo if paid monthly) Individual- 12 months: $200.00 for 12 months ($15.83/mo if paid monthly)

Additional Information

First Emergency Contact

First emergency contact name

First emergency contact relationship

First emergency contact cell phone

First emergency contact phone

First emergency contact email

First emergency contact address

Mobility issues

Special needs

Employment status

Vocational/Professional Experience

How long have you lived in the city

Your interests what do you love doing

Special expertise

How did you hear about us

What made you interested in becoming a member?

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 contacting us — it’s a pleasure to connect! Our team is committed to providing friendly, professional assistance, and we’ll be reviewing your message right away. You’ll hear back from us soon.