Yes, I am a member of the Michigan Association of Senior Centers and would like to also join NISC.

I am enclosing $50 for a one-year membership in the National Institute of Senior Centers/NCOA.
I am affiliated with multiple centers and want each enter to enjoy membership. I am attaching the contact information for a staff person at each center and an additional $50 per center.

I want to enjoy the introductory savings for two years. I have doubled my payment.

Name:__________________________________________

Organisation:____________________________________

Title:___________________________________________

Address:________________________________________________

City:___________________________________________

State/Zip:_______________________________________

E-Mail:_________________________________________

Phone:_______________ Fax:______________________

Visa/MC/Amex No._______________________________________

Exp. Date:___________________

Total Enclosed: $_____________

Please make checks payable to National Council On The Aging

Send to:

NCOA/NISC Membership Department
P.O. BOX 75556
Baltimore, MD 21275-5556

Fax: 301-604-0158

Offer subject to expire without further notice. Limited to non-NCOA members

top