Online Supporter Form – The Warehouse Club of Dunedin

What do you want to do today?

Select Member Supporter Type

Name

First

Last

Phone

Email

Consent to Email

I consent to The Warehouse Club using my email address for club activities, membership updates, bookkeeping, receipts, confirmations, and other membership-related communications. We may use trusted third-party service providers to send these communications on our behalf, but we will never give, sell, or otherwise convey your email address to any other party.

Preferred communication method

Phone
Text
Email

Check as many as you like.

Has your address changed since you originally became a member?

Yes
No

Address

Address Line 1

Address Line 2

City

State

Zip Code

Name on mug (one-year or more membership)

Recovery Date

Enter your sobriety date.

Earth Birthday

Enter your date of birth.

Payment Type - (Note: PayPal and Credit Card are fastest with no extra steps.)

Please select one-time or recurring payment

One-Time Payment
Recurring Payment

If you select One-Time Payment, you will only be billed for this one payment. If you select Recurring Payment, your payment will be made automatically through PayPal or Square when your invoice is due. You can cancel this any time through PayPal or Square.

Would you like to cover the PayPal fee?

Yes, count me in!
Not at this time

PayPal Fee

This fee will be included in your total payment.

Credit Card

Card

Name on Card

Would you like to help by covering the credit card fee?

Yes, count me in!
Not at this time

Credit Card Fee

This fee will be included in your total payment.

Would you like to help by covering the Venmo business fee?

Yes, count me in!
Not at this time

Venmo Business Fee

This fee will be included in your total payment.

Paying by Venmo or Zelle

🚨 STOP — PAYMENT REQUIRED 🚨

You are NOT done yet.

📱 1. Open your phone
Zelle users: You MUST be logged into your bank’s app BEFORE scanning directly with Zelle.
🔍 2. Scroll down to scan the QR code
💸 3. Send payment via Zelle or Venmo
✅ 4. THEN submit this form

No payment = No membership

(Yes, this step matters more than the red text above 😊)

Total

Item Quantity Qty Total

There are no products selected.

Select Member Supporter Type - Monthly (individual) 1 $12.00

Select Member Supporter Type - Monthly (couple) 1 $18.00

Select Member Supporter Type - Twice Yearly 1 $65.00

Select Member Supporter Type - Yearly (individual) 1 $120.00

Select Member Supporter Type - Yearly (couple) 1 $180.00

Select Member Supporter Type - Five Year 1 $450.00

Select Member Supporter Type - Club Trustee 1 $950.00

Select Member Supporter Type - Lifetime Member 1 $2,500.00

PayPal Fee 1 $0.00

Credit Card Fee 1 $0.00

Venmo Business Fee 1 $0.00

Total $0.00

Payment by Check

Paying by check?
We must receive your check within 10 days of submitting this form,
or the transaction will be voided.

Mail to:
The Warehouse Club
2024 Main St
Dunedin, FL 34698

Please include your name on the check so we can match your payment.

Scan this QR code to send your payment shown above via Venmo.

(If you have a problem scanning the code, use @thewarehouseclub in the Venmo app.)

Credit address to