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FPL CLUB 2-1-1 RENEW/JOIN

Membership fees directly support 2-1-1 Broward. FPL CLUB 2-1-1 is an exclusive club focused on connecting people for good. The CLUB was created to support 2-1-1 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 www.211-broward.org to view the online CLUB directory. Have questions? Contact Tracy Schuldiner at 954.390.0493 ext. 244 or email her at tschuldiner@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:
$211.00 - Annual General Membership
$17.58 - Annual General Membership with12 monthly payments ($17.59)
$511.00 - Annual Connection Membership
$42.59 - Annual Connection Membership with 12 monthly payments ($42.59)
$2,110.00 - LIFETIME MEMBERSHIP
$175.83 - LIFETME MEMBERSHIP 12 monthy payments @ $175.83
$87.92 - LIFETME MEMBERSHIP 24 monthy payments @ $87.92
$56.61 - LIFETME MEMBERSHIP 36 monthy payments @ $56.61
$3,633.00 - PLATINUM CIRCLE LIFETIME MEMBERSHIP
$302.75 - PLATINUM CIRCLE LIFETIME MEMBERSHIP 12 months
$151.38 - PLATINUM CIRCLE LIFETIME MEMBERSHIP 24 months
$100.91 - PLATINUM CIRCLE LIFETIME MEMBERSHIP 36 months
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: (required) mm/dd/yyyy
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 FPL CLUB 2-1-1!