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Dollar Club Member Enrollment Form
Thank you for taking the time to complete your Community Partnership Program Dollar Club Member Enrollment Form. Please provide the information requested so that you can start receiving your program benefits and savings and begin helping your Community Organization today.
Your Community Partner Member Information :
Please note that fields with an (*) are required.
Name of your Organization: *
Enter your Community Partner Membership ID number: *
Last Name: *
Street Address 1: *
Street Address 2:
City: *
State *
Zip Code *
Country *
Email Address: *
Phone Number: *
Your Birthday: * (MM/DD/YYYY)
How did you hear about the Community Partnership Program?
Please explain
By whom
Note: All information is kept in the strictest of confidence; see our Privacy Policy for more information
Our Dollar Club Members will gain access to all the
Membership Benefits Programs and product savings at
the Community MarketPlace for a membership fee of
ONLY A $ 1.00 PER MONTH
The Dollar Club Member account set up is free
and the annual Membership fee
Is only $ 12.00 per year*
* The annual account maintenance fee is a one-time fee that is paid at the beginning of the member’s membership year and is non-refundable. The Dollar Club Member’s Community Partner Member must be current in the program for the Dollar Club Member(s) to receive all of the programs full benefits. The Dollar Club Member may cancel their membership at any time without any cancellation fees or penalties.
We sincerely appreciate your efforts. We know that the time you invested will prove to be time well spent. You will receive your membership ID Number within the next several days after your application has been processed. Again, it is our stated goal to consistently offer quality products, services, and savings for all of our members.
It is always our commitment to offer as much assistance and as many opportunities to our members as possible. We look forward to developing and continuing a mutually beneficial relationship with you.
Sincerely,
The Community Partnership Program Staff
First Name: *
County: *
By clicking "Submit" you agree to the terms and condidtions below.
"The Community Partnership Program is
designed to produce a "Sustainable" revenue stream for its
Community Partners, while providing savings to their members on
products & services"
Community Partnership Program
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The Community Partnership Program, LLC
