• Retiree Club

    To become a member of our group please complete an application found below. We look forward on hearing from you!

    Yearly Dues are $12 for each person, payable from January through December. Spouse/Partners are encourgades to join and participate.

    Make checks payable to: IBEW 617 Retiree's Club

    Mail to: IBEW 617 Retiree Club, c/o G. Moller, 1421 Overland Dr. San Mateo, CA 94403

    APPLICATION

    Date 

    Date of Retirement 

    Birthday 

    Retiree Name 

    Address 

    Spouse/Partner Name 

    Spouse/Partner Birthday 

    Telephone Number 

    Email address 


     


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