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RFSA Membership Form

   Applicant Information

 Your after-retirement email address

   Annual and 3-Year Membership Dues

  Free! - This is my first year of membership  
  $25.00 - Individual Membership 
  $35.00 - Couples Membership
  Both my spouse and I plan to participate in the activities of RFSA
  $70.00 - 3-Year Individual Membership (save $5.00)
  $86.00 - 3-Year Couples Membership (save $10.00)
  I want to make a $ donation to the RFSA Scholarship Fund

   Interest Groups and Publications

  Please place my/our names on the mailing list for the following interest groups:



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