Apply for Membership

NEW Member Application

CALL Membership is for those who are 50 years and older

Are you applying as a: (required, please circle one)
New Member | Renewal | Former Member

Enclose Membership fee:
[  ]$35 per person; one year membership effective through 8/31/2013
[  ]$90 per person; three year membership effective through 8/31/2015
[  ]$150 per person; five year membership effective through 8/31/2017
CALL membership is not pro-rated.

First Person_______________________________________________________

Year of birth (required) ______________________________________________

Second Person_____________________________________________________

Year of birth (required) ______________________________________________

Street Address_____________________________________________________

City________________________________ State _____ Zip _________________

Phone ______________________ e-mail ________________________________

How did you learn about CALL? (optional)

_______________________________________________________________

Mail this form with your check (payable to CALL) to
Calvin Academy for Lifelong Learning
3201 Burton St SE
Grand Rapids MI 49546-4388