Life Retired Membership Application

This form should be completed for each retired NMA Member who wishes to become a "Life Retired Member" of NMA... THE Leadership Development Organization.  After the application is approved, a special one-time membership card will be issued and sent to the person designated on the form below for presentation to the retired member.  No dues are required for retired members.

Special Life Retired Membership Certificates are available and may be purchased from NMA.  To order one, to to: https://secure.cnchost.com/nma1.org/Orders/order.shtml.

Life Retired Members are eligible to participate in the following benefit programs:
    The NMA Group Insurance Plan
    The Credit Card Program
    The Personal Loan Program
    NMA Rental Car Program

Date submitted:

mm/dd/yy

Retired Member's Name:

Retired Member's Address

Chapter Name:

Chapter Number:

 

  

Name and chapter office of Individual to whom Life Retired Membership Card should be mailed:

E-Mail Address:

Address:

Any special instructions?

If you have any questions about your Life Retired Membership, please contact Robin Furlong, Membership Coordinator.

This page updated 04/07/2011 05:37:19 AM .