I wish to renew my membership or join the AARP Campbell Area Chapter 5151. I have included a check for my annual chapter dues which include our newsletter, The Dispatch. Membership fee is $17 with the Dispatch sent by regular mail. If you would like your Dispatch sent via e-mail, membership fee is $14, which includes a $3 discount, as we save on printing & mailing costs. I am a member of the National Organization.
National AARP No. (Required) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Expiration Date . . . . . . . . . . . . . . . .
E-Mail Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Amount Paid $ . . . . . . . . . . Check #. . . . . . . . . .
NAME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . [ ] New Member* (see below)
ADDRESS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . [ ] Renewal
CITY . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . STATE . . . . . . . . . . . . ZIP CODE __ __ __ __ __ — __ __ __ __
PHONE (. . .. . . .) . . .. . . . . . . . . . . . . . . . . SIGNATURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DATE . . . . . . . . . . .
*How did you hear about our chapter? _________________________ Age Group? 55-65 ( ) 66-75 ( ) 76+ ( )
Please make checkspayable to AARP Campbell Area Chapter 5151.
Mail to: Membership App, 2643 Meta Drive, San Jose CA 95130-2231.