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Join

Stay connected. Print and mail today.

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Your Name

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For Couple Membership, Your Spouse's/Partner's Name

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Address

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City

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State Zip Code

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Phone(s)

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E-mail(s)

Select type of membership:
___ Single membership $20.00
___ Couple membership $30.00

___ When possible, please send me the newsletter and program reminders via e-mail.

Note: Our membership directory is distributed only to the members of the organization. We hope you will allow your contact information to be included. But in any case we need that information for administrative purposes.

___ Check if you want your phone number omitted from our printed directory. ___ Check if you want your email address omitted from our printed directory.

Make check payable to IU Retirees Association and mail to:
IU Retirees Association
P.O. Box 8393
Bloomington, IN 47407-8393