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Seattle CiviForm
Note: Fields marked with a * are required.
Here are things to consider before you begin: This application may take up to 10 minutes to complete.
If you’d prefer, there are several in-person locations in the community where you can complete your application in person. You can find locations here: http://www.seattle.gov/agefriendly/about/discount-program#goldflash.
Ok
To be eligible for the GOLD card, you must be 60 years of age or older *
I am currently 60 years of age or older
I am NOT currently 60 years of age or older