Meeting / Event
12/31/2009
RENEWAL 2010
NEW AND RENEWALMEMBERSHIP FORM 2010 (New Calendar Year)
Please Print and mail completed membership form
with a check in the amount of $75.00 made payable to SUN-B to
Roan Kane, Chair/Membership Committee
MetroCare Givers, Inc.
1133 Broadway Suite 928 , New York, NY 10010
New Membership Renewal
NAME _________________________________________________________________________________
TITLE _________________________________________________________________________________
ORGANIZATION/BUSINESS _____________________________________________________________
ADDRESS _____________________________________________________________________________
PHONE NUMBER ____________________________ FAX NUMBER ___________________________
E-MAIL ADDRESS ______________________________________________________________________
How did you hear about SUN-B? ____________________________________________________________
Senior Umbrella Network of Brooklyn - An organization inspired by actual senior issues.
|
