Application | Association

MEMBERSHIP APPLICATION

RETIREE/EMPLOYEE

Department

DNR

DEQ

EGLE

SPOUSE/PARTNER

Primary address

Street address

City, State, Zip Code

Seasonal address

Seasonal street address

Seasonal City, State, Zip code

Dates of seasonal address

Email - Retiree

Email - Spouse/Partner

Phone number:

Alternate phone number:

How do you want to receive the newsletter?

Printed

How did you learn about the Retirees Association?

Information to share for the newsletter, such as division(s) you worked in, when you retired, service years, what you are doing now, your recent life events, etc.)

First year of membership is free. You may extend your membership for additional years at $10 per year by submitting a form to renew membership on the Membership page.

If you listed an email address, you will receive a copy of the Membership Directory via email within 30 days.
If you do not have an email account, you can order a printed copy of the Membership Directory at $15.00 per copy from the Member Portal.

DNR, DEQ, & EGLE Retirees Association