Membership Form

Annual dues are from January 1 – December 31 of the application year.  This form serves as a New Member Application as well as an update to change your information.  Please complete the information below and return it with your payment of $50.00 Single/$100.00 Married Couple to the Center via mail or in person.  In order to be listed in the Newsletter you must fill in your birthday on the line provided, month/day.

Please make checks payable to the Central Connections Senior Citizen’s Center.