Spaulding Support Services -

Membership Application

 

I am pleased to support Spaulding Support Services at the level indicated:

Name:____________________ Address:___________________________________
Telephone________________ Email:_____________________________________

Please check below:

Life member($500)

Supporter($250) Advocate($100)
Patron ($50) Family ($25) Individual($10)

Please make check or money order payable to: Spaulding Support Services and mail to:
Spaulding Support Services, 486 West Onondaga Street, Syracuse NY 13202
Thank you.

Spaulding Support Services is a 501 (c) agency.