United Postmasters and Managers of America (UPMA)

Please complete and mail to UPMA National Office(address at bottom).

* Denotes Mandatory Fields

SECTION A – All New Members Complete

Social Security Number:*

I am a (check one):*

Civil Service Annuitant

FERS

My Civil Service Annuity*/Final** Number is:*

Date of Birth:*

Home Telephone:

Gender:

Male

Female

None Selected

Chapter:*

Prefix:

First *:

Middle:

Last *:

Suffix:

Home Address:*

City:*

State:*

Zip:*

Personal E-Mail Address: