|
MEMBERSHIP APPLICATION
FORM NAME____________________________ NAME______________________________ ADDRESS________________________ ADDRESS_________________________ _________________________ __________________________ PHONE___________________________ PHONE____________________________ Membership is from July 1, 2005 to June 30, 2006. The membership fee is $20.00 per person. Lifetime Memberships are also available for a one-time fee of $200.00. (Please see the brochure entitled " Homer Senior Citizens, Inc. Services and Membership" for more information on membership benefits.) (Available In our office.) Enclosed is $________ in payment for_____ (one or two) membership (s) for FY 2006 Lifetime Membership $____________________ Please return this printed form with payment to: Homer Senior Citizens,
Inc. Or drop it by our main office at the same address. [ Home ] [
Membership ] [ Donations
] [ Search ] [ Services We Offer ] |