NASLH Member Application

NASLH Membership Application

Membership in NASLH includes many benefits for your Legal Hotline, including:

Conference calls where information and ideas are shared between Senior Legal Hotlines across the nation;
Receive access to and support from other experienced senior legal services and helpline/hotline leaders and advocates;
Participation in legislative advocacy;
Opportunity to have your voice heard regarding legislation;
Opportunity to be leaders of NASLH and guide its direction;
Participation in studies concerning funding of senior legal hotlines;
Participation in funding opportunities available to senior legal hotlines (e.g. Part D funding);
Access to materials that raise awareness of the work of hotlines;
And last, but by no means least, NASLH benefits greatly from your input.

1. NASLH Membership Levels (Choose One) *This question is required.

2. Organization Name *This question is required.

3. Street Address *This question is required.

4. Apt/Suite/Office

5. City *This question is required.

6. State *This question is required.

7. Zip Code *This question is required.

Contact Information

8. Full Name *This question is required.

9. Title *This question is required.

10. Your Email Address *This question is required. This question requires a valid email address.

11. Telephone Number *This question is required.

*You will be sent an invoice. You can then mail an appropriate payment amount to for the membership dues for the calendar year to:

NASLH
c/o Elder Law of Michigan, Inc.
3815 West Saint Joseph Street, Suite C-200
Lansing, MI 48917