Michigan Association of Senior Centers



C/o Sue Koivula Membership Chair
City/Township of Northville
303 W. Main
Northville, MI 48167
Phone: 248-349-4140
INVOICE
Date: 9/6/2007
Annual Membership Dues Renewal
October 2007 to September 2008

Name of Organization:___________________________________________________________________
Director's Name:___________________________________________Title:_________________________
Address:______________________________________________________________________________
City:_______________________________________State:___________Zip:_______________________
Phone:______________________________________Fax:______________________________________
Email:______________________________________Cell:______________________________________

Organization's website address (URL): http://___________________________________________
Note: As a benefit to MASC members, website address and link will be posted on the MASC website www.MIseniorcenters.org

Other Members: (List all others in your center that would be members/with email addresses)
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________


Cost of Michigan Association of Senior Centers Membership Dues for 2008:
(Please indicate type of membership by Circling One)

Organizational:$ 75.00 (Senior Centers)
Affiliated:$150.00 (Organizations that are associated with senior centers)


Make all checks payable to: Michigan Association of Senior Centers (MASC)
If you have any questions concerning this invoice, contact Sue Koivula: 248-349-4140.

Thank you for your renewal of membership!

You have joined a dynamic group of active professionals