Yes, I wish to become a dues-paying member of the Center.  Enclosed is my check for $10.00 (annual dues).
$

Name:

Address:

City:     State:   Zip Code:  

Telephone:

Please make checks payable to:

Catskill Center for Independence

P.O. Box 1247

Oneonta, New York  13820

A copy of the Center’s annual report may be obtained upon request from our organization or from the NYS Attorney General’s Charities Bureau, Attn: FOIL Officer, 120 Broadway, New York, NY  10271

*All contributions are tax deductible