Highland County Senior Citizens Center Membership
Please fill out and submit the form below. Need help? Call 937-393-4745
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Emergency Contact Name & Telephone
Doctor Name & Contact
Month & Day
Interested in Volunteering?
Winter Address & Dates Gone
Please Mail Your Check
After you submit this form please mail your check to the Highland County Senior Center, 185 Muntz Street, Hillsboro, OH 45133
Regular Membership: Ages 50+ = $20.00
Associate Membership: Ages 21-49 = $25.00
Lifetime Membership: Ages 90+ = FREE
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