COLORADO SENIOR LOBBY
1. Individual Membership is $30. A family membership
is $40 and includes one subscription to the Lobby Newsletter.
2. Sustaining
member at $50
3. Joining as an organization for $60, you will get three Newsletters . Attach 3 subscriber names,
addresses and phone numbers.________
4.A financial contribution to the Colorado Senior Lobby________
5. I would like to volunteer. Please
call me at ___________________
Name______________________________________________
Organization Name _____________________________________________
Home Phone___________________
Business Phone ___________________ Cell
Phone_______________________
Address___________________________________________________________________________________
e-mail
Address_______________________________________
Date________________
Make
check payable to Colorado Senior Lobby, and mail to 655 North Broadway, Suite 580, Denver CO 80203
Telephone 303-832-4535
