S.R.A.

SNET Retirees Association
S.R.A.

Dedicated to preserving retiree benefits

Associated with the National Retiree Legislative Network

S.R.A. MEMBERSHIP APPLICATION / RENEWAL FORM

Check one: New Member Renewal Date _
First Name_ Last Name
Street Address _______
City St Zip _ -__
Telephone# (_) _____Alt # (_)_____
Fax# (_)
E-mail ________ (we send instant updates and reminders by E-mail)
Company retired from "SNET, Cingular, SBC, AT&T _StateYear_
Stockowner? Y N
I would like to help in this area:
Serve on the Board __ Calling committee _Area Representative _Help with Media _Legislation committee _Other
Comments:

Dues:$15.00
If a new member, please tell us how you learned of the S.R.A. If referred by a member please place his/her name here;
____________

Please print this form, fill it out and send to P.O. Box 623, Orange, CT 06477-0623 on local contacts page.
Please feel free to copy this form and give it to any SNET retiree or future SBC Retiree. All may join and are welcome whether bargaining union or management.