AFT6157-R Membership Form

AFT6157-R Membership Form
Name

First Name Last Name
Year Retired
Campus
Department
Email
example@example.com
Address

Street Address

Street Address Line 2

City State

Zip Code Country
Phone Number

Area Code Phone Number
Please note: Dues are currently $50/year for full time retirees, $20/year for adjunct retirees, but we are still in the process of revising this form. Adjunct retiress will need to pay by check for now. The new form will be up and running soon. Sorry for the inconvenience!
Payment
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AFT6157-R Membership Dues $ 50.00

Total $ 0.00
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