AFT6157-R Membership Form

AFT6157-R Membership Form
Name

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

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Phone Number

Area CodePhone Number
Please note: Dues are currently $30/year for full time retirees, $10/year for adjunct retirees. Please select the appropriate rate below.
Products
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AFT6157-R Membership Dues (Full Timer Rate)$30.00

AFT6157-R Membership Dues (Associate Rate)$10.00

Total $0.00

Debit or Credit Card

Choose from one of the PayPal options to make your payment.