Basic or Premium Membership Registration

To start the membership sign-up process, please fill out the following form. Once the form has been filled out, we will reach out to you for your payment method.

Senior Community Name*

Contact First Name*

Contact Last Name*

Position*

Email*

Business Billing Street Address*

Business Billing City, State and Zip Code*

Phone*

Time Zone*

Other Contacts

Type of Membership*

Basic Membership - $30/Month

Premium Membership - $50/Month

Preferred Payment Method*

Monthly Automatic Credit Card Payment (deducted on the 15th of the month prior to following month's programs)

Quarterly Billing (Pay by check or credit card) Due by the 15th of the first month

Annual Billing (Pay by check or credit card) due by the 15th of the first month ($340 per year/$20 discount)

PAYMENT TERMS OF AGREEMENT FOR SENIOR LEARNING NETWORK SUBSCRIPTION
Billing/Payment Terms Effective August 2020

New Members: First Month’s subscription: ($30.00/Basic OR $50.00/Premium) due; payable by credit card. Service will be activated for the following month once payment is received. If a new member desires to be active for the present month, they will be billed for both the present and next month.

Monthly Payments: Monthly payments will only be available by credit card via automatic payment, ($30.00/Basic OR $50.00/Premium); deducted on the 15th of the month for the following month's programs.

Payment by check will only be accepted on a quarterly or annual membership payments. If you wish to pay quarterly or annually please check the box above.

Quarterly payments ($90.00/Basic or $150.00/Premium) will be billed at the beginning of each quarter.

Annual payments, Basic - $340.00 or Premium - $580 ($20 Discount)

Once this form is submitted we will reach out to you to set up your payment method.

Note: Premium Members that request a private program: If there is a fee charged by that provider, you will be invoiced for that program by the provider directly, not by Senior Learning Network.

Thank you for joining the network!

Terry Earl, Director

INITIALS - By entering your initials here you are agreeing to the terms and conditions of this membership subscription.*

PLEASE NOTE: BY AGREEING TO BECOME A MEMBER OF THE SENIOR LEARNING NETWORK, YOU ARE AGREEING THAT YOU WILL NOT SHARE PROGRAM LINKS ( ID’S) with any other senior center or organization who is not an SLN Member, and understand doing so will result in termination of membership.