BAY AREA SENIOR ADVOCATES (BASA)
MEMBERSHIP APPLICATION/RENEWAL FORM
1-1-08 TO 9-30-08
Thank you for
expressing an interest in BASA. Meetings
are held the 3rd Wednesday of every month, except in December.
To join BASA, fill out the membership information below.
Make certain all items are completed.
Mail your membership form and a check for $35.00 made out to BASA to:
BASA
3963
Note:
Due to a change in our fiscal year, 2007 dues covered 15 months. For this
year only, 2008 dues will cover only 9 months.
Updated membership
lists will be provided to BASA members at the monthly meetings.
You may email member information changes to gtcoa@grandtraverse.org
. Only paid members
will be included in the listing. Incomplete
membership forms or forms received without a check will not be processed.
PLEASE PRINT
Organization
Name:______________________________________________________
Member Name &
Title:___________________________________________________
Address:_______________________________________________________________
City:________________________________________________Zip:_______________
Telephone:______________________________Fax:____________________________
Please complete and
return by January 31, 2008 with your check for $35.00.
Members are welcome
to join at any time. However,
checks received after January 31st, will not qualify members for
Senior Expo discounts.