Join or Renew Your 5CLIR Membership

Join or renew your 5CLIR membership

(You must use Paypal to pay online, otherwise, please return to the www.5clir.org/forms to print a paper form and send in with your check.)
Membership fees are continuing to be reduced for the Jun 1 to July 30, Membership Year.

This reduction is reflected in the amounts shown below.
Date

Month Day Year
Date
Name *

First Name Last Name
Name of Member, if different than payee

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *
E-mail *
Emergency Contact Name *

First Name Last Name
Emergency Contact Phone *
Membership Category (amount includes our online processing costs) *
prev next ( X )
HOLIDAY DISCOUNT Introductory Half Year Membership - ( $ 85.00 one-time payment)
(Special rate before December 31st, 2022. Registration by December 14th guarantees one first choice of seminar)

Half Year Membership: for First Time Members Only -1 Semester ( $ 110.00 one-time payment)
(Regularly $125.00)

NEW Full Membership: July 1- June 30 ( $ 220.00 one-time payment)
(regularly $250.00)

RENEWING Full Membership: July 1 - June 30 ( $ 220.00 one-time payment)
(regularly $250.00)

Associate Membership: for former Full Members (No seminars or voting rights) ( $ 110.00 one-time payment)
(regularly $125.00)

Second half year for continuing new members ( $ 110.00 one-time payment)
(regularly $125.00)

Membership Assistance: Full Membership July 1- June 30. (For individuals experiencing financial hardship) ( $ 110.00 one-time payment)
Choose to pay what you can afford, half the membership fee or zero. Funds are provided by generous contributions to the Membership Assistance Fund.

Membership Assistance: Full Membership July 1- June 30. (For individuals experiencing financial hardship) ( Free one-time payment)
Choose this option for the full membership at zero cost if you are experiencing Financial Hardship. The Membership Assistance Fund will cover the cost of your membership.
How did you hear about 5CLIR?

Word of mouth Public Event Website Newspaper
To make a donation to the 5CLIR Membership Assistance Fund, which offers financial assistance to support membership dues of fellow members, please click here.

This contribution is tax-deductible to the extent allowed by law.
As a member of Five College Learning in Retirement, I recognize that my address, email, and telephone number will appear in the 5CLIR membership directory and my photograph may appear in the newsletter or on the website unless I request an exemption in writing. I acknowledge this statement by entering my Initials below.
Initials *
Should be Empty:

Join or renew your 5CLIR membership