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I understand associate and associate plus membership entitles me to most privileges and services of LeadingAge New York. Membership is subject to the standard membership approval process. Membership does not constitute an endorsement of my products or services. I further understand that membership can only be terminated by sending a letter requesting termination of benefits to the attention of LeadingAge New York’s accounting department. I understand that non-payment of dues does not constitute a notification of termination and that any dues or other expenses incurred prior to receipt of the letter requesting termination of benefits will be the responsibility of the member. By checking the box above, I understand and agree to LeadingAge New York’s notification of termination policy. I also hereby acknowledge that neither I, nor my organization, have a 10 percent or greater ownership in a proprietary provider facility or agency.