Join us.

Are you interested in becoming a VIA member? Fill out the application below! Once we review your application we will contact you with next steps.

Terra Ceia VIA Membership Application

Family Name

Primary Email

Cell Phone

Go Paperless: Check here to checking here to receive correspondence from the VIA by e-mail.

Street Address

Street Address Line 2

City

Postal / Zip code

How would you like to serve the communiy?

By-Laws Committee

Fundraising Committee

Island Clean-Up Committee

Island Events Committee

Meeting Host Committee

Membership Committee

SeaBreeze Park Committee

VIA Hall Committee

Webmasters Committee

I would NOT like to be involved, but I can pledge an additional $100 towards community costs

List ALL adults and children living at this address

Membership Type

Single Membership - $125

Family Membership - $250

Associate Membership - $500

How would you like to pay Membership dues? *

Electronic Invoice (a small service charge will be added)

Mail in Check

I (we) affirm that I (we) are interested in the objectives and purposes of the organization and agree to be bound by the Artitcles of Incorporation and the By-Laws thereof, and by such rules and regulations as may, from time to time, be adopted by the Board of Directors of the corporation, and hereby apply for active membership.

Thank you for your application! We will be in touch with next steps.

Contact

1505 Center Rd

PO BOX 4

Terra Ceia, FL 34250

board@terraceiavia.com

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Enter Your Name

Enter Your Email

Enter Your Subject

Message

What does your inquiry relate to?

Membership

Sea Breeze Park

VIA Hall

Mullet Smoke Off

General Question

Thanks for submitting!

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