Sage Membership Application 
SAGE WELCOMES YOU TO JOIN US!
*  We offer memberships for Individuals and offer a discount for Couples. Couples, please fill out an application for each partner so that we have your direct contact information
*  A new promotional Trial membership is available for 2 terms/quarters for interested individuals to try our program.
For questions, please contact our Membership Team at membership@sagelr.org

NOTE: If you see a request for a Google Log-in or Switch Account, please ignore it. Start with the email you wish to use for SAGE.
Sign in to Google to save your progress. Learn more
Email *
Select your Member Type
*
Your Name (First Last)
*
If a couple, your Partners name (First Last)
Your Preferred Contact Number (xxx-xxx-xxxx)
*
Select the Preferred Contact Number Type
*
Your Alternative Contact Number (xxx-xxx-xxxx)
Select the Alternative Contact Number Type
Clear selection
Mailing Address (street, city, zip)
*
SAGE provides a Member Directory via a Member-access only website page. You have the option to "opt-out" of having your contact information listed here. Please indicate if you wish to Opt-Out by entering Opt-Out below.
Retirement Status
*
(Educational and Career Background: A college degree is a not a prerequisite for SAGE members. We are interested in the subjects and areas of your experience, whether business, professional, volunteer or other. )
Background
*
Current Interests
*
How did you hear about SAGE?
Clear selection
Emergency Contact Information (Name, relationship, phone number)
(If you have already reviewed the class listing for the current term, you may submit your choice and an alternate, in the event your choice is full. Example: 2B-World Music)
Class Choice
Class Alternate
Thanks. Now for your next steps
* Our annual dues are $250 for an Individual and $450 for a Couple.
   Trial memberships are $50 for 2 terms/quarters.
   If you are joining mid-year and did not already get a reduced amount from membership,
          please contact them at Membership@sagelr.org.
* You can pay electronically through the Zelle app at your bank.
   Pay to: paysage@sagelr.org.
or Make your check payable to: "SAGE Learning in Retirement" or "SAGE LR INC"   
     Mail check to: ATTN Mike, SAGE LR, 11024 Balboa Blvd Unit 403,
                               Granada Hills, CA 91344
Please review your input before you submit.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Sage Learning in Retirement. Report Abuse