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 1420 Ogden St, Denver, CO
80218-1901 Telephone
303-832-4535
