One moment please...
Orcas Senior Center Membership Form
Thank you for renewing your membership or signing up to be a new member of ORCAS SENIOR CENTER!
No senior will be denied access to membership to inability to pay. Scholarships are available for those who need them. Please contact 360-376-7929 or
admin@orcasseniors.org
for more information.
Membership Level Options
*
$500
-
GOLD PREMIER - couple
$300
-
GOLD PREMIER - single
$200
-
PRIME - couple
$125
-
PRIME - single
$50
-
STANDARD - couple
$30
-
STANDARD - single
I/We wish to make an additional contribution to support OSC (Please select only one):
$500
$250
$100
$50
$25
$
Contact Information
1st Member NAME
*
First Name
Last Name
2nd Member NAME
*
First Name
Last Name
1st Member EMAIL
2nd Member EMAIL
1st Member PHONE
2nd Member PHONE
YES! I am interested in volunteering for OSC.
YES! I am interested in volunteering for OSC.
ADDRESS
*
Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
How would you like to receive our newsletter?
*
select one
Email
Mail
I do not want to receive a newsletter.