Membership Application

to

National Rural Letter Carriers’ Association

specifically

Michigan Rural Letter Carriers’ Association

Name: __________________________________________________________________

Address:________________________________________________________________

City:_______________________________ St: _________ Zip: ____________________

Home Phone: ____________________________________________________________

Office of Employment: ____________________________________________________

All classes of carriers may pay cash dues or enroll in Dues Withholding and have dues taken directly from their postal check. 

Please fill out above form and mail to:

Nancy Whitmore

MIRLCA Secretary

304 N Horton St

Jackson MI  49202-3723

or  Phone (517) 780-9708