Membership Application

Please Note: Our Membership Year is undergoing a transition.
The 2018-2019 Membership Year will be from June 1st to March 31st.
All following Membership Years will be from April 1st to March 31st.

Membership is not required to participate in any of the Society’s



If you would like to become a member or renew your membership,
please fill out the application form and submit your application.


Membership Fee is $20.00 per term


**Payment is due upon application, and acceptance is subject to Board approval.

Contact Information

State / Province*
Confirm Email*

Membership Information

Membership Type*
  • Individual
Please tell us about yourself (new members only):
How are you connected with, or hear about, Seniors Services Society? Please check all that apply:
  • I am/was a Volunteer
  • I am/was a Board Member
  • I am/was a Society Member
  • I am/have received services from SSS
If you are interested in becoming a Board Member, please check the box below
  • Yes, I am interested in becoming a Board Member

Payment Information

Name on Card*
Card Number*

Security Code

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