Membership Application October 1, 2024 to September 30, 2025 Membership Membership application for both new and renewing members Payment Method(Required)PayPalCheck - preferredIf paying by check, mail or drop off the check to Linda Charapp (Membership Director) at 11801 Via Novelli Ct, Miromar Lakes, FL 33913Price:(Required) Price: Important Notice for Check Payments: Thank you for choosing to pay by check. When you click “Submit,” your application is submitted. You are then redirected to PayPal. Since you are paying by check, you can safely close your browser at that point. No further action is required on PayPal.Your First Name(Required) Your Last Name(Required) Preferred FIRST name for Name Tag E-Mail Address(Required) Membership Status(Required) I am a NEW MEMBER to Hearts of Miromar (please complete ALL information) Renewing Member NO Changes Renewing Member Limited Changes The following has changed: Cell phone Miromar phone Alternate phone Miromar Neighborhood Miromar address Alternate address Spouse/Partner information Cell PhoneMiromar PhoneAlternate PhoneMiromar Neighborhood Miromar Address Alternate Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Your Birthday Month Day Year Publish my alternate address in the HOM Directory along with my Miromar address Yes No Please select the following that are applicable(Required) I own in Miromar I rent in Miromar I am ONLY a member of the Miromar Golf Course I reside in Miromar Full Time I am a Seasonal Resident Select the months September October November December January February March April May June July August Spouse / Partner Information Spouse Partner Spouse / Partner's First & Last Name Spouse / Partner's Birthday Month Day Year Anniversary Month Day Year Do you have any medical food allergies?(Required) No, I do not have medical food allergies Yes, I have medical food allergies There will be three (3) menu selections for each luncheon. One will be vegetarian. If you have a medical food allergy, please list it below.(Required)Only medical food allergies will be accommodated by the kitchen. Kitchen staff will be notified; however, for your safety it is your responsibility to check with the wait staff prior to being served. Thank you for your support of Hearts of Miromar! Any additional notes may be added here.Your dues open the doors to many club activities, attendance at our monthly luncheons & voting privileges on important matters, such as bylaw amendments and election. CLUB SIGN-UPS are done by YOU! Please email the Chair/co-Chair of each club you are interested in joining. Contact names can be found in the Weekly Updates. WELCOME TO HEARTS OF MIROMAR! Here, we celebrate a vibrant community where women uplift each other with dignity, respect, kindness, and inclusion. We’re all about building and nurturing friendships, spreading goodwill in our community, and making a positive impact through local charities. Every member is valued and can expect to both give and receive warmth, respect, and camaraderie in all that we do!