If you are concerned about Senior issues, please print and complete this form, enclose a $5 check or money order for a single membership or $7.50 for a couple, and mail to USA headquarters: 190 New Britain Avenue, Hartford, CT 06106. Checks should be made payable to “United Seniors in Action.”
We will forward your membership card and current information on Senior issues upon receipt of your dues. You may also call us at (860) 297-5154 for more information.
Name:_________________________________________________________
Spouse’s Name:_________________________________________________________
Address:________________________________________________________
City:______________________________________
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What's on Your Mind?
Are there any issues that currently have you concerned? Let us know! Send us an e-mail , include a note with your membership form, or call us at 860-297-5154.