Please complete this form for membership in The Goofy Villagers for 2018.

Membership fees are $16 for each person.

Mail check payable to TGV and mail check to:

Rose Nutley
1424 Olustee Place
The Villages, FL, 32163

* indicates required field

Information for Member #1:

First Name #1:*

Last Name #1:*

Email #1:*

Re-enter Email #1:*

Home Number #1:*

Cell Number for Member #1:

---

Information for Member #2 (If Applicable):

First Name #2:

Last Name #2:

Email #2:

Re-enter Email #2:

Home Phone #2:

Cell for Member #2:

---

Street Address in The Villages:*

Zip Code:*

Residence Status:*

Please Select Full Time Seasonal

---

I have mailed my Check #*

on*

to the address listed above.

CAPTCHA Code:*