Council Of Seniors & Senior Organizations

 

Join the COSSO Team

______ Yes, I would like to become a member of COSSO

First Name: _______________________________________________

Last Name: _______________________________________________

Street Address: ____________________________________________

City: _____________________________________________________

State: __________________________ Zip: _______________________

Home Phone: _______________________________________________

Work Phone: _______________________________________________

Cell Phone: _________________________________________________

Fax Phone: _________________________________________________

E-mail: ____________________________________________________

Mail your check for $10.00 to:

COSSO
P.O. BOX 661533
Sacramento, California
95866-1533