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Membership Application/Renewal Form

Emeritus Association, University of Calgary

Membership Application/Renewal Form

(Click on 'Membership Application/Renewal Form above to get the Word version)

NOTE:  Membership year runs from Sept. 1 to August 31 of the following year. If this is a renewal and there have been no changes (address, phone, email, etc.) then simply fill in your name and it is not necessary to fill in the rest of the form.  Simply indicate “No Changes” 

Name __________________________________________________ Telephone: _____________

Home address ___________________________________________ Telephone: ____________

________________________________________________________ Fax: ________________

________________________________________________________ E-mail: _______________

Faculty/Department affiliation ______________________________ Year of Retirement: _________ 

Amount of payment - $25.00 ($15.00 if you live out of Calgary) – for a complete fee structure, see the website:

Mail Membership Application/Renewal together with a cheque, payable to Emeritus Association, to:

Dr. Arvi Rauk, Emeritus Association Treasurer/Membership
5287, Dalcroft Cr. N.W.
Calgary, AB T3A 1N6

NOTE: By applying for or renewing your membership, you agree to receive occasional emails from the Emeritus Association


Payment may also be made on-line by Interac e-transfer (See instructions below).

NOTE:  If this is a renewal and there have been no changes (address, phone, email, etc) then it is not necessary to fill in the form.  Simply indicate “No Changes”  in the Interac message box.  Otherwise, please fill out this form, convert to PDF format, and attach to an email

Interac (see description at )
If you do not have it already, get access to your bank accounts on-line through your bank (the example here is for First Calgary Financial)
[1] under Transfers, find and click Send INTERAC® e-Transfer
Choose Add New Recipient (This only needs to be done once)
Name: Emeritus Association
Preferred Language: En
Send Transfers by: Email
Security Question: What is this payment for?
Answer: membership
You will be asked the amount of payment - enter 25.00 (15.00 if you live out of Calgary)
You will have the opportunity to send a message – for example “Membership for 2016 – 2017”
Depending on your bank and type of account, you may be charged a transfer fee of $1.50.
Suggested wording for payment of Luncheon tickets and membership payments
Payment may be made in three ways:
1) In cash
2) By personal cheque payable to Emeritus Association, or
3) By Interac email transfer to Emeritus Association, email: