RAUS Lifetime Membership Application

RAUS
RETIRED ASSOCIATION FOR THE UNIFORMED SERVICES, INC.

Life Membership Upgrade Application

As a Life Member, you and your spouse will be exempt from future dues increases. Your Life Membership will be effective for the life of both the member and the spouse. Your Life Membership Certificate provides a document in hand as a record of your membership for your future needs.

Step 1: Complete the form below and click on the button to go to Step 2.

Required

RAUS Member Number:

Member First Name:

Member Middle Initial:

Member Last Name:

Address:

City:

State:

ZIP Code:

Home Phone:

Email Address:

Member Date of Birth:

(mm/dd/ccyy)

Life Membership (Based on age range)

	40 or less	41 to 45	46 to 50	51 to 55	56 to 60	61 to 65	66 to 70	70 and up
Age Range Life Dues:	$325	$300	$275	$250	$225	$200	$175	$100

Select a membership option:

I herby request an upgrade of my RAUS membership to a Life Member. As a Life Member, I/we will be exempt from future dues increases. My Life Membership will be effective for the life of both myself and my spouse. My Life Membership Certificate provides a document in hand as a record of my membership for my future needs.