Membership Application

Member Information

Annual dues are $130 Membership dues for each calendar year (from date of payment). Dues are not transferable, refundable, or prorated.


Member Contact Information

Date of Birth

Required for insurance coverage. Due to it being a group policy life insurance, standard does not allow anyone to decline coverage.

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Rep Information

Please Choose One:

If you would like to manage your Neon CRM account (i.e., view donation history, renew membership, etc.), please create a login name and password below. Your password must be at least eight characters long, and contain at least one number.