Join

By joining StateWide, you can have an impact on state and federal issues of importance to older New Yorkers. You can also help spur your peers to become more knowledgeable about issues including Medicare, Social Security, prescription drugs, long-term care, patient’s rights and NYS budget issues. StateWide Senior Action is a not-for-profit, grassroots, advocacy organization, founded in 1972. With your tax deductible  membership, you will receive Senior Action News, information about our annual conference, local meetings and more!

Please print membership application to fill out and mail or fax back to us, or complete the online form below. To pay your dues or make a contribution through an online secure connection, please Pay Online Through Network for Good

Name
Address
City
State
Zip
Phone
Email
County
Chapter (if known)
Affiliated Organization
   

Membership Categories

Individual Membership – $15.00/year

Couple Membership – $20.00/year
Lifetime Membership/Individual – $150.00
Lifetime Membership/Couple – $200.00
Organizational Membership – $75.00/year
Your organization will receive 20 copies of Senior Action News.

   
I am a:
New Member
Renewing Member
Additionally, I would like to make a contribution of  $ to the Rose Kryzak Legacy
Fund to assist StateWide’s efforts in forwarding senior advocacy across New York State.
  Please record you total.
Submit form and then follow instructions to
PAY ONLINE through Network For Good.