Staten Island Telco Retirees Club

Join the Club

Come join the Staten Island Telco Retirees
Come join the Staten Island Telco Retirees
Join the Staten Island Telco Retirees Club.
A CWA RMC chapter affiliated with Local 1102 Staten Island, NY

 

Print out the form below, fill it in, and bring it to the next meeting.
Dues are $40.00 a year.

 

Last Name _________________________________

First Name _________________________________

Street ____________________________________

City __________________State ________ Zip _______

email address _________________________________

Home Phone ______________________________

Cell Phone ________________________________

Birthday Mo ______ Day _______

Spouse's name ______________________________

Company you retired from _____________________________

                       
Comments. _____________________________________________

______________________________________________________

______________________________________________________

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