ACHE Retired Status Application

Retired Status Application
Retired status is available to current Members and Fellows who are retired. If you are semi-retired, you must be working less than three days per week.

Retired status allows for continuation of all rights and privileges of ACHE membership (except serving as an elected official) at a reduced rate of $75 annually.

ACHE Customer Service staff will review your application and contact you with the correct dues amount needed for your retired status. You may be eligible for a refund depending on the last amount of dues you paid ACHE. Please note that retiring Fellows who have at least twenty-five years of membership in ACHE regardless of category may be eligible for our Life Fellow status. See www.ache.org/retired for details.
Personal Information
Full Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Retirement Date*

MonthDayYear
Date
Address*

AddressCityStateZip
Email Address*
example@example.com
Click here if you agree*

The information provided on this application is accurate and complete. I agree that if I am granted Retired status in ACHE, I will continue to abide by ACHE’s Bylaws, Code of Ethics and other rules and regulations (found on ache.org/Ethics) and that I will alert ACHE if I return to full-time employment status.
Signature*

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Date

MonthDayYear
Date
Should be Empty:

Retired Status Application