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Narse Membership Application

First /Middle Initial:
Last Name:
Address:
City/State/Zip:
Phone:
Fax:
E-Mail:
Web Release Include me in the narse Web Site E-Mail Directory. Yes
No
Yr Retired/Unit:
Years of Svc:
If a currently employed associate: Start date with Sears:
Unit or Dept.:

Members of Sears Retiree Clubs, please supply us with the following:

Club Name:
Club President:
Club Address:
Club City/St/Zip:
Club Telephone:
Club Fax:
Club E-Mail:

Yes, I want to join NARSE and the fight to preserve and protect earned retiree benefits.

You can join online by completing this application and submitting it by clicking  the "Join" button. You will then be billed for the amount you choose below.

Otherwise, you may elect to print this application out or fill out the MS Word version in the "Downloads" section and mail it in along with your check.

Questions regarding NARSE should be directed to Ron Olbrysh at cro922@comcast.net

$15.00      $25.00    $50.00      $100.00       Other:

Please Submit Payment by Check

Narse, 8700 West Bryn Mawr, S-800 South
Chicago, IL 60631-3507

    

 

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Questions regarding NARSE should be directed to cro922@comcast.net
or regarding this web site to webmaster@narse.org
Copyright © 2003 National Association of Retired Sears Employees
8700 West Bryn Mawr, S-800 South, Chicago, IL 60631-3507