Online Membership Form | Seniors Services Society

The membership Year will be from April 1st to March 31st.

Membership is not required to participate in any of the Society’s services
If you would like to become a member or renew your membership, please
fill out the application form below and submit your application to Seniors Services Society.

The membership Fee is $20.00 per term
**Payment is due upon application, and acceptance is subject to Board approval

"*" indicates required fields

Name*

Organization (If Applicable)

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Submission Date*

Tell us about yourself (new members only)*

Check the applicable boxes:

I am a person over the age of 19

I have paid my membership fee online ($20.00)

I am interested in becoming a Board Member

Please send me more information on donating opportunities

Please send me information about volunteer opportunities

How are you connected with, or hear about, Seniors Services Society? Please check all that apply:*

I am/was a volunteerChoice

I am/was a society member

I am/was a Board Member

I am/have received services from SSSBC

Join us!

Membership Form

Thank you to our funders