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Stay connected. Print and mail today.
__________________________________________________
Your Name
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For Couple Membership, Your Spouse's/Partner's Name
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Address
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City
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State Zip Code
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Phone
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E-mail
Select type of membership:
___ Single membership $15.00
___ Couple membership $20.00
___ When possible please send me the newsletter and program reminders via e-mail.
Make check payable to IU Retirees Association and mail to:
IU Retirees Association
P.O. Box 8393
Bloomington, IN 47407-8393
