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Membership
at Aging Well Inc.

Membership is open to all seniors age 55+ and adults with documented disabilities. The cost is $18 for the calendar year (January–December 2025).

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Click below to download the application:

Instructions:

  1. Download the application to your device (e.g., to your desktop or Downloads folder).

  2. Fill out the application, either in your browser or with an app such as Adobe Acrobat.

  3. Save the completed version, with your changes, to your device where you can locate it.

  4. Upload your completed application below and press Submit.

 

If you didn’t sign the form electronically, you’ll be asked to sign it in person when you pay the $18 membership fee in person. Or, you can pay electronically below.

Attach your completed application below:

Or, print out and bring to 84 Social Street.

Upload File
Upload supported file (Max 15MB)

You have successfully submitted your application.

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