PSC Membership Update Form for Retirees

We are trying to update membership information for the more than 2,800 members in retirees chapter. Retirees are no longer campus-based which means that the opportunities for face-to-face communication with colleagues are limited. Hence it is important that the PSC has correct email addresses, home addresses and phone numbers to communicate with members.

Please fill out the form below and then click submit to inform us of any changes in address, telephone, and email that may occur during the academic year.

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State / Province / RegionAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Home Phone

Mobile Phone

College that employed you

Preferred Email *

Submit