Membership Registration Form

Southern Forest Service Retirees Association

Membership Registration Form

Please complete and include the following form when joining or renewing membership in the Association.

* Required Fields

First name

Year of Retirement

Last name

Spouse's Name (if applicable)

Physical Address

Address Line 2

City

State

Zip code

Cell Phone

Home Phone

Email Address (required for electronic delivery of newsletter)

 I would like to join as a new member. I understand my first year of membership is FREE, and I will receive electronic copies of 3 issues of Association newsletter sent to my email inbox.

Credit for my recruitment to join goes to:

 I would like to renew my membership.

Enclosed is $___

for ___ year(s) of membership at $15 per year.

Choose one option for distribution of the newsletter

 I would like to receive the Association newsletter electronically only. I understand that choosing this option greatly lowers costs to the Association, reducing need for future dues increases.

 I would like to receive hard copies of the Association newsletter delivered to my physical mailbox.

 I would like to make an additional donation to the Association.

I am including $___ in addition to any membership dues to help the Association cover costs.

Member Benefits:

Thanks for submitting!