White Lake Senior Center Membership Application NAME _______________________________________________________ ADDRESS____________________________________________________ ____________________________________________________________ CITY ________________________________________________________ TOWNSHIP___________________________________________________ PHONE ______________________________________________________ DATE OF BIRTH _______________________________________________ MEMBERSHIP TYPE BASIC $25___________ FRIEND $50 _________ SPONSOR $100 ______ LIFETIME $500 _______ RETURN TO: THE WHITE LAKE SENIOR CENTER P.O. BOX 56 MONTAGUE,MI 49437 QUESTIONS: CALL 231-894-9493