Membership Application

Please find application below which you may print and send to join MRU. Mail application for membership to:

Massachusetts Retirees United

PO Box 176

Pinehurst, MA 01866

Application for Membership

Massachusetts Retirees United

PO Box 176

Pinehurst, MA 01866

Check one: New Member_____ Renewal_____

Name__________________________________________________________ Address________________________________________________________ City________________________State_______Zip______________________ Phone Number_______________________________

Email address________________________________

Retiring from_____________________________ Date Retired or Retiring____________________________________________

____One-year membership $20

____Two-year membership $35

____Three-year membership $45

Please enclose a check payable to:

Massachusetts Retirees United. Please do not send cash.