If you would like to be an SHL, call your local Area Agency on Aging or simply print out this page, fill out the below Application, and mail it in today.

Thank You!!
_______________________________________

SHL Membership Application:

Name:______________________________

Address:____________________________
                        (apt. or street number)
____________________________________
                        (city, state, zip)

County:_____________________________

Phone:______________________________
                       (area code & number)

FAX:________________________________

E-Mail Address:_______________________

Check one:  _____Senate  _____House

Mail to your nearest Area Agency on Aging.

To obtain the address of an AAA near you, you may go to: http://www.n4a.org

Thank You!

Team Building for Seniors!!

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Peace.