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Seattle CiviForm

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Gold Card
Application for Gold Card

Gold Card

Seattle Gold Card: Benefits and discounts for residents 60+, from attractions to local services.

5 of 10 Demographic Information

Required fields are marked with an asterisk ( * ).

What is your race?

Check all that apply

American Indian/Alaska Native

Asian

Black/African American

Hispanic/Latino of any race

Native Hawaiian/Other Pacific Islander

North African/Middle Eastern

White

Prefer not to answer

Are you of Hispanic, Latina/Latino/Latinx or Spanish origin?

Please select one box

No, not of Hispanic, Latina/Latino/Latinx, or Spanish origin

Yes, of Hispanic, Latina/Latino/Latinx, or Spanish origin

Prefer not to answer

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