($15 individual; $25 couple)
Please make checks payable to RAPSU and mail to: IOA/Retired Associates P.O. Box 751 Portland, OR 97207-0751 Here is my check in the amount of $___________ for membership in Retired Associates of PSU. Please Print Name:______________________________________________________ Spouse:____________________________________________________ Address:_____________________________________ Apt.___________ City:_____________ State:___ Zip :_________ Phone:_______________ Email:______________________________________________________ I would like to receive the RAPSU Newsletter by email only Yes____ No_____ (Optional) Please tell us a little bit about yourself |
MEMBERSHIP FORM FOR RETIRED ASSOCIATES OF PSU (RAPSU) |