UMRA Membership Registration

Instructions

First year membership is free!
Please fill out forms as completely as you can.
You may optionally pay in advance for the eight UMRA program and repasts along with your renewal (during certain times of the year). No refunds are available; a missed program/repast will be considered a donation to UMRA.
Online programs are free and invitations are emailed to members before the program. In person programs and luncheons are not offered at this time. --- Advance program and repast payment includes reservations for each of the eight monthly meetings.
To pay with a credit card or through Paypal (no account needed), select "Pay by Credit Card." On the PayPal site you have 2 options: pay with your PayPal account, or by credit card.
To pay by check, complete all of this form, then select "pay by check". Print the completed form and mail it in to UMRA with your check.
In both cases your new membership record will be created. However, when you pay by check your record will not be marked "active" until your check has been received and processed.

Postal Name (required)

Person 1

Given (First) Name (required)

Family (Last) Name (required)

Full Name (e.g. as in your signature) (required)

Nametag Name (First & Last)

Nickname

Personal Website

University Retiree? (required)

Yes

University Retirees only

University Start Date (Month - Day - Year)

University Retire Date (Month - Day - Year) (required)

Major University Unit

University Department

Job Title (Most recent)

Employment Type

Phone Numbers

Type

Phone Number

Email Addresses

Select Primary Email
(used for emails and login)

Email Address

This is your current
Login Email Address

Mail/Email Preferences

All UMRA members receive notices (event sign-up reminders, travel tour options, presidential messages) by email via the UMRA-MEMBERS listserv, including the monthly (8x/year) UMRA eNews. In addition, each UMRA member household may elect to receive the printed quarterly UMRA News by U.S. mail.

Please indicate your mail/email preferences below. Note: If you opt out of email from the UMRA-MEMBERS listserv, you may still get email from interest groups, reminders of events you have registered for, dues reminders, etc.

I would like to receive (required)

All UMRA-MEMBERS listserv emails and print newsletters by mail.

All UMRA-MEMBERS listserv emails, but not print newsletters by mail.

None. No UMRA-MEMBERS listserv emails, nor the print newsletter by mail.

Login Password

This is required only if a login email is provided above.

Member Password (required)

Confirm Member Password (required)

Residence(s)

Residence 1

Address (required)

City

State

Postal Code (required)

Country (required)

Primary

Lived Here Since

Season(s) (if applicable)

Membership Application