MEMBERSHIP ENROLLMENT
Membership in the NAU Retirees Association
(NAURA) is open to NAU retirees, spouses/partner,
and qualifying others. The dues for membership
are $15 annually or one $225 payment for a life
membership.
To join NAURA please complete the
following application form and return it with your
check to:
Treasurer,
NAU Retirees Association
NAU Box 5601
Flagstaff, AZ 86011
( ) $15.00 for
Annual Dues (June 1 through May 31)
( ) $225.00
for Life Membership (one-time payment).
Be assured that the information
supplied will be treated confidentially. NAURA
will not sell, give, or share information (including
address, phone number, email address or other
information) about an individual retiree with
non-NAU persons or groups. Addresses are
shared with the NAU Human Resources Department and
the NAU Foundation since we receive much of our
information about retirees from these units.
Name of Retiree:
________________________________________________________________
Name of spouse/partner (if
applicable):________________________________________________
Is your spouse/partner also an NAU
retiree? Yes________ No________
Street address:__________________________________________________________________
City:__________________________________
State:__________ Zip code:________________
Phone:(_______) ________ -
_____________________________
Email address:__________________________________________________________________
(
) I/we wish to receive the NAURA Newsletter, the
FLASH, electronically at my email address.
Both from environmental and fiscal
viewpoints, the use of Email is critical to NAURA's
effort to reduce costs. The FLASH will be in
Adobe Acrobat as a .pdf file. If you don't
have Adobe Acrobat Reader, get a free download by
clicking on the following link:
http://www.adobe.com/products/acrobat/readstep2.html
(
) I/we wish to receive the FLASH by U.S.
Mail.
(
) I/we grant permission to be contacted by email
with notifications of interest to retirees, e.g.,
open enrollment dates for health insurance, medical
information such as the availability of flu vaccine,
announcements of NAURA events and activities,
articles to be posted on the NAURA web site bearing
on retiree concerns and interests.
(
) I/we wish to be notified of important retiree
issues being considered by the Arizona Legislature.
(Specific information on effective advocacy will be
sent you by NAURA's Legislative Concerns Chair.)
Additional helpful information
(optional):
What year were you first hired at
NAU?______ What month and year did you
retire?______________
Which department, division, or
office were you in when you
retired?___________________________
If your spouse/partner is/was also
employed by NAU, please supply the same information.
Year hired:________ Month/year
retired:____________
Dept./div./office:_____________________
Rev 12/2008
