AU Retiree Association Membership 2026
January 1 - December 31, 2026
Personal Information
Privacy Statement
*Salutation:
Dr.
Mrs.
Ms.
Mr.
Other
*First Name:
*Last Name:
*Mailing Address:
*City:
*State:
Alabama
Alaska
Alberta
American Samoa
Arizona
Arkansas
British Columbia
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland
North Carolina
North Dakota
Northwest Territories
Nova Scotia
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Island
Puerto Rico
Quebec
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon Territory
*Zip Code:
*Phone Number
(
no dashes or spaces
):
*E-mail:
*New or Renewal?
New
Renewal
*AU or AUM?
AU
AUM
*Retirement date (MM/YYYY):
Spouse Information
Spouse Salutation:
Dr.
Mrs.
Ms.
Mr.
Other
Spouse First Name:
Spouse Last Name:
Spouse Email:
AU or AUM?
AU
AUM
Retirement date (MM/YYYY):
Membership Fees
Fee Selection:
Single Retiree - $40
Retiree and Spouse - $40
Retiree and Retiree Spouse - $40
Surviving Spouse of Retiree - $15
Sponsor - $40
Payment Information
Visa, Mastercard, Discover and American Express are accepted.