Welcome to Lifelong Wellness, Inc.

Membership to Lifelong Wellness is open to the public and entitles you to dinner or presentation discounts.

Please fill out this form and mail it to:   

Lifelong Wellness Inc PO BOX 116 New hartford NY 13413. with your check.

(  ) New Member        (  ) Renewal

(  ) Family membership  $25       (  ) Individual Membership $15    (  ) Additional donation $ ____

Name ______________________________________________________

Address ___________________________________________________

             ____________________________________________________

Phone Number _____________________________________________

Email Address ________________________________________________________

(  ) Email me the newsletter (SAVE A TREE)

(  ) Send it to me via snail mail

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