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CLUB 2-1-1 RENEW/JOIN

Membership fees directly support 211 Broward. CLUB 211 is an exclusive club focused on connecting people for good. The CLUB was created to support 211 Broward which is the live, 24-hour comprehensive helpline, providing all people with crisis, health and human services support and connecting them to resources in our community. Be sure to visit https://www.211-broward.org/ to view the online CLUB directory. Have questions? Contact Tracy Schuldiner at 954.390.0493 ext. 8010 or email her at tracyschuldiner@211-broward.org
First Name:
Last Name:
Address:
City:
State:
(ignore for non-US transactions)
Zip Code:
Country:
Email Address:
Confirm Email Address:
Preferred Phone:
Title (optional):
Organization (optional):
Credit Card Billing Address
 
 If the address where you receive the credit card bill is different than above, please enter it here.
Address:
City:
State:
Zip Code:
 

If you select MONTHLY PAYMENTS, please make sure to select the RECURRING OPTION and ENDING DATE
Charge Amount:
Make this a Recurring Transaction? By default your card will only be charged today, with no recurrence set up. However, you can use the fields below to specify a recurring payment on the schedule of your choosing. Change the recurrence to specify how often your transaction will be processed. Specify an end date to stop transactions after a certain point in time (if you are unsure, use the expiration of your credit card).
Recurrence:
End Date:
Pay by Credit Card  
Card Type:
Credit Card Number:
Credit Card Expiration (mm/yy): /
Name On Card:
C V V Value:
 
Thank you for joining CLUB 2-1-1!