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Request Membership Change to Retired Status

  * = required
Please change my ASBD membership status to retired because:*
I have reached age 65 and have retired.
I have not reached age 65 but have retired.
I understand my request must be approved by the ASBD Board of Directors.
Member ID: *
First Name: *
Last Name: *
E-mail: *
Street Address:
City:
State:
Zip Code:
Retirement Effective Date:*
 
Enter the text above: *

 


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