MVOPT Apply Now

Online Membership Application

We’re so glad you’re joining our family!

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Thanks for taking a moment to start your Prime Timers journey with this application. Just a few quick steps and you're done. Once sent, we'll review it and reach out to you shortly.

Prefer paper?  You can download the application HERE.  Just fill it out and bring it to our next event--we'll take care of the rest!!

Type of Membership Application: (Check one)

Annual dues are $20 per person, due January 1st (or whenever you join!). Joining after July 1st? It's just $10 for the rest of the year. Choose your preferred payment option at the bottom of this form.

Applicant Name
Birthday
Partner's Name (Optional)
Anniversary
Address

Discretion is paramount in all actions and activity of Miami Valley Ohio Prime Timers (MVOPT).  Personal information will be kept confidential unless you give permission below to publish it in the Member Directory.

Select how much information MVOPT may use:
I wish to receive communication from MVOPT by: (Select all that apply)

While MVOPT will make every effort to abide by your selection below, I underand that inforjaitn may inadvertainly be released.

Do you authorize your name and/or photo to be printed in any form (newletter, website, etc)?

I certify that I am at least 21 years of age. I agree to uphold and abide by the MVOPT by-laws. I agree to absolve
MVOPT, its Board of Directors and all other members of any liability due to my participation in MVOPT activities.
I understand that all members and guests are subject to all policies, rules, regulations of the MVOPT by-laws....a copy
can be obtained at our website: MVOPT.COM

I understand that MVOPT does not discriminate based on race, color, creed, national origin, or HIV status. I
understand that the use of illegal drugs is not permitted at any MVOPT function.

Furthermore, I understand that the Prime Timers Roster and Directory are given only to Prime Timer members to be
used by the chapter to conduct its business. Members and chapters will keep the Rosters and Directory private and
confidential.

What's the easiest way for you to pay your dues?

Updating our application!

We’re making a few quick updates to make things easier for everyone. We’ll have it back up and running shortly!