Membership Application

Name

Name of Partner

Address

Province

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Postal Code

Country (if living outside Canada)

Telephone Number

Email Address

Year of Retirement

Please choose one

Faculty Staff

Department

Please choose a campus

Fredericton Saint John Moncton Bathurst

Preference for receiving newsletter?

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Regular Mail

For a UNBREA member to be eligible for value pack benefits, the university requires you to certify that you are:

• 55 years of age or older
• A retired employee from the University of New Brunswick
• In receipt of a pension for your service with the University of New Brunswick from the pension plan for Academic Employees and/or Public Service Superannuation Act of the Province of New Brunswick

I certify that I meet the criteria

Yes No

Note: If each spouse is an eligible UNB Retiree, each must complete a UNBREA application form to receive value pack benefits. However, the $25 membership fee for a couple still applies.

Membership Type

$15 Single Membership $25 Couple Membership $5 No Membership, Newsletter Only

Please send a cheque to:

UNB Retired Employees Association
General Delivery
P.O. Box 4400
Fredericton, NB
E3B 5A3