Membership Application

Payment Method(Required)

Price:(Required)

Price:

Paying by Check? Here’s What to Know

Thank you for choosing to pay by check!

Please mail or drop off your check to:
Linda Charapp (Membership Director)
11801 Via Novelli Ct
Miromar Lakes, FL 33913

Paying by Credit Card? Here’s what to know

After submitting this form, you’ll be redirected to PayPal to complete your payment.

Good news — you do not need a PayPal account to pay by credit card!

Just click “Pay with Debit or Credit Card” on the PayPal screen to check out as a guest.

Need a little help? Here’s a quick guide:
👉 PayPal: How to Check Out Without a PayPal Account

First Name(Required)

Last Name(Required)

Preferred FIRST name for Name Tag

email(Required)

Membership Status(Required)

I am a NEW MEMBER to Hearts of Miromar (please complete ALL information)

Renewing Member (Current or Previous Member)

Miromar Lakes Affiliation(Required)

I own in Miromar

I rent in Miromar

I am ONLY a member of the Miromar Golf Course

Residency Type(Required)

I reside in Miromar full time

I am a seasonal resident

Select the months

Neighborhood

Miromar Neighborhood

Local Address Street Address 1

Miromar Lakes Street Address

Phone Cell

Cell Phone

Phone Local

Miromar Phone

Phone Other

Alternate Phone

Other Address

Street Address 1 City State ZIP Code

Publish my other (alternate) address in the HOM Directory along with my Miromar address

Yes

Birthday

Use this format: Jan 09 — that’s the 3-letter month and 2-digit day.
For example, January 9th would be entered as Jan 09.

Spouse/Partner Name

Spouse / Partner’s First & Last Name

Spouse/Partner Birthday

Spouse / Partner Birthday
Use this format: Jan 09 — that’s the 3-letter month and 2-digit day.

Anniversary

Anniversary Date
Use this format: Jan 09 — that’s the 3-letter month and 2-digit day.

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.

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.

Food Allergies(Required)

For Logged In Members

Did you need to correct any of the information we filled in for you?

Yes, I made some changes

No, everything was correct

Any additional notes may be added here.

🌟 Membership Perks & Getting Involved

Your membership dues open the doors to a world of connection and fun!

Access to a variety of club activities
Attendance at our monthly luncheons
Voting privileges on key matters like bylaw amendments and elections

Club Sign-Ups:
You’re in the driver’s seat! ✨ If you’re interested in joining a club, simply email the Chair or Co-Chair directly. You’ll find their contact info in our Weekly Updates.

💖 Welcome to Hearts of Miromar

We are a vibrant community where women uplift each other with dignity, respect, kindness, and inclusion. Our mission is to build meaningful friendships, support local charities, and spread goodwill throughout Miromar Lakes.

Every member is valued — and you can expect to both give and receive warmth, connection, and camaraderie in all that we do. ❤️

2025 – 2026 Membership

Paying by Check? Here’s What to Know

Paying by Credit Card? Here’s what to know

🌟 Membership Perks & Getting Involved

💖 Welcome to Hearts of Miromar