Please remember to write "Do not publish" on the
line next to any information that you do not wish to appear in the
membership directory.
Name___________________________________________________________________
Address__________________________________________________________________
City/State/Zip code__________________________________________________________
Telephone number (
)________________________________________________
Email
Address_____________________________________________________________
County Department from which you
retired_______________________________________
Month & year of
retirement___________________________________________________
Print this page, complete information below and mail the form
with a check for $10.00 payable to FCREA to:
Fulton County Retired Employees Association, Inc., P. O. Box 201,
Grayson, Georgia 30017-0004
Application for Membership
Fulton County Retired Employees
Association, Inc.
Atlanta, Georgia