United Postmasters and Managers of America (UPMA)

* Denotes Mandatory Fields

SECTION A – All New Members Complete
Your title determines whether you also complete Sections B or C.

USPS Employee Identification Number:*

Social Security Number:*

Date of Birth:*

Phone:

Gender:

Male

Female

None Selected

Prefix:

First *:

Middle:

Last *:

Suffix:

Your Nick Name:

Home Address:*

City:*

State:*

Zip:*

Personal E-Mail Address:

Please Check One