Cal State San Marcos - The Retirees Association - Membership Form

The Retirees Association - Membership Form

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The Retirees Association - Membership Form

Retiree Information:

First Name: Required Field

Last Name: Required Field

Preferred Email: Required Field

Address 1: Required Field

Address 2:

City:

State:

Zip:

Country:

Phone Number:

University Affiliation: (If applicable)

Date retired or planned:

Division (college, department, etc.)

Category:

I'm Interested in volunteer opportunities:

Membership Information

Application Type: Required Field

Membership Type: Required Field