Application Form-NAGE

membership application

Membership Application

Completed applications for membership (initial and annual renewals) should be forwarded to the NAGE Treasurer.  The annual membership period is January 1st through December 31st. Arrangements for accommodating a partial year are available for Initial applications only.

Please submit renewal applications with the annual membership fee no later than one month before the current membership expires.  An invoice for renewal will be sent to NAGE members 2-3 months before expiration date. Please mail a completed application form and check made payable to NAGE to:

Dr. Bert Waters
Treasurer, NAGE/NAGEC
Virginia Geriatric Education Center
Virginia Commonwealth University
P.O. Box 980229
Richmond, VA 23298-0229
Phone:  804-828-1525

Questions? Contact Leland “Bert” Waters at