FCLIR Membership Form

(If you select "Membership assistance" above you will see a line where you can select a reduced rate.)

Please provide the payer with a copy of your confirmation email (see below.)

Please make your check payable to "Five Colleges, Inc." and write "FCLIR membership" in the memo line. Mail your check to

Five College Learning in Retirement
P.O. Box 105, 202 Plain Road
North Hatfield, MA 01066

As a member of Five College Learning in Retirement, I recognize that my address, email, and telephone number will appear in the FCLIR membership directory and my photograph may appear in the newsletter or on the website unless I request an exemption in writing.

You may opt to have your address omitted from the membership directory by checking the box below.

When you click the SUBMIT button below, an email confirmation with all the information from the completed form will be sent to the address below. You will be redirected to the thank-you page on our web site with more information. (You may have to click "return to merchant" on the final PayPal page.)