APSU Retirees Association

Title

First Name: Required Field

Last Name: Required Field

Preferred Email: Required Field

Email

Preferred Phone Number Required Field

Address

City, State, Zip Required Field

Former Office/Department Required Field

Years of Service Required Field

Month and Year of Retirement Required Field

Spouse/Partner First Name

Spouse/Partner Last Name

Spouse/Partner Phone Number

Spouse/Partner Email

Membership Levels
Membership Level	Term	Price
Regular (APSU Retiree)	Active through 6/30/2024	$25.00

Associate Membership	Active through 6/30/2024	$25.00

Affiliate	Active through 6/29/2024	$25.00

Regular (APSU Retiree) and Spouse/Partner	Active through 6/30/2024	$50.00

5 Year Membership	Active through 6/30/2028	$100.00

Lifetime Membership	Lifetime	$500.00

If you would be interested in giving to the APSURA scholarship or giving donation in addition to your membership fee, please visit www.give.apsu.edu for more information.