Membership application and renewal form | Retirees Association

UWRA membership application or renewal form

To join the UWRA, please complete and submit this form.

For information about membership, please contact the UWRA Membership Coordinator.

Amount

please choose one option.

Annual (calendar year) $15.00

Lifetime $130.00

Date

Name

Address

City

Country

Postal Code

Phone

Date of Retirement

Please enter the date you retired. yyyy/mm/dd.

I retired from:

Please enter the faculty, department, or position.

Before you retired, you were a member of:

Please choose one option.

CUPE Local 793

CUPE Local 5524

FAUW

OPSEU Local 231

UWSA

Other…