YES! I WANT TO BECOME A CCOA MEMBER TO HELP BUILD A BETTER CONNECTICUT FOR AGING AND OLDER ADULTS!!

 

Dues help fund education events and forums, legislative alerts, and consumer advocacy notices. 

  • Name:
  • Business or Agency Where you Work:
  • Best Email Address:
  • CT Town Where You Live:
  • Zip:
  • Best Phone Number:
  • On which legislative or aging topics would you like more education?
  • What community aging topics concern you?
  • What legislative topics concern you?
Please PRINT(click here) this form and mail, with your dues, to Marlene Schempp, CCOA Treasurer, 38 Laraia Aveune, East Hartford, CT 06108 OR  email the information to contact@coalitionagingct.org and we will contact you.*

 Suggested Annual  Dues:  Optional to Select One That Applies
$0 – $25
Individual/Family membership (Self Determine Amount)
$50 Membership for Municipal and Non-Profit Organizations
$100   Private Organizations/Businesses or Corporation