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Join us!


Make your organization an affiliate of the Minnesota Retiree Council.

Download and complete this affiliation form and mail it to us at:

Minnesota Retiree Council

175 Aurora Avenue

St. Paul, MN 55103


The following organization hereby makes application for affiliation with the Minnesota State Retiree Council, AFL-CIO:
Your Organization name: _________________________________________________________


We are (check one):

___ The retiree organization of a local union.

___ A regional or statewide retiree organization of a single union.

___ A multi-union retiree organization of a regional or local labor federation. ___ A union that keeps retirees in its membership after retirement.

___ A union paying an affiliation fee for our retiree group or organization. ___ A union of active members only, affiliating to support the work of the Minnesota State Retiree Council.


Does your organization maintain a full-time staffed office?

(circle one) YES NO

Organization’s preferred mailing address


Name of contact person & position or title: ____________________________________________________________________




Phone: ____________________________________ Fax:___________________

Web site:_________________________________________________________


Affiliated Membership Annual Fee


1–25 members $5.00

26–50 members $10.00

51–75 members $15.00

76–100 members $25.00

101–250 members $50.00

251–500 members $75.00

500+ members $100.00 


Number of members in our organization: ________

Check enclosed in the amount of: $______

Please make check payable to: Minnesota State Retiree Council, AFL-CIO And please send check, along with this form, to Minnesota State Retiree Council, AFL-CIO 175 Aurora Avenue, Saint Paul, MN 55103 Request: If the name and contact information for your organization’s principal officer is different from the preferred mailing address given on this form, please write the principal officer’s information here:

Principal officer’s name & position: ____________________________________________________________________


Principal officer’s mailing address: _____________________________________________________________________________________________________________________________________________________________________________________


Principal officer’s phone: _________________________________


Principal officer’s email address:___________________________________

Please remember that, in order to have delegates and alternates at the Sept. 20, 2020 State Retiree Council Convention, organizations must be up-to-date with their affiliation fees.


Thank you for affiliating with the Minnesota State Retiree Council AFL-CIO! 175 Aurora Avenue, St. Paul, MN 55103 


Phone: 651/227-7647 Ext. 121 Toll Free: 800/652-9004 Ext. 121

Fax: 651/227-3801


Web Site:

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