MEMBER FORM
NORTHSHORE SENIOR CENTER
10201 East Riverside Drive
Bothell, WA 98011
www.northshoreseniorcenter.org
(425) 487-2441
Welcome to the Northshore Senior Center Membership Form. Please fill out each line of the form and the user demographic form below. Your Information is kept confidential. After the submit button, you will be given the option to pay with credit card. If you’d like to pay by check, please make checks payable to: Northshore Senior Center and mail to: 10201 E. Riverside Drive • Bothell, WA 98011.
