Membership

SUPPORTING MEMBERSHIP in the Council on Aging  is $10.00 for an individual or $15.00 for a married couple per year.  It entitles members to the monthly SENIOR HAPPENINGS newsletter, an opportunity to submit names to the nominating committee for consideration of the Board of Directors positions, as well as entry to the area senior centers for programs and activities.  Anyone can support the Council's programs through the purchase of a membership.  Apply for your membership today!

Complete this form, provide your signature  and mail the  application along with your check and a self-addressed, stamped envelope to:

Council on Aging, Inc.
P.O. Box 611927
Port Huron, MI 48061-1927

Name:________________________________________________________________

Address:_________________________________________________________

City:_________________________________________________________________

State:_________________________________________________________________

Zip:______________________________________________________________

Phone Number:_________________________________________________________

Email

Address:_________________________________________________________

Date(S) of Birth:________________________________________________________

Township:_____________________________________________________________

Signature:_____________________________________________________

**You may print this membership form.

Registration Form

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