Association of Former International Civil Servants, New York

MEMBERSHIP APPLICATION FORM

I wish to become a member of AFICS New York.

1. Applicant details

• Indicates required field.

Note: Click on the globe icon and select country first, then enter the phone number.

Last Position Held

Emergency Contact

Note: Click on the globe icon and select country first, then enter the phone number.

2. Type of membership

**Prorated Fee Schedule: For those who join prior to 30 June, pay $65 for membership until 31 December. For those who join 1 July through 30 September, pay $40 for membership until 31 December. For those who join from 1 October onwards, pay $65 for membership through to 31 December of the following year.

Associate Membership. Is open to members of other UN retiree organizations.

I am a life/annual member of the AFICS New York sister organization indicated below.

3. Information for AFICS/NY and member networking

Please give a short description of your international career using acronyms

4. Volunteering in AFICS/NY

Please indicate the areas of AFICS/NY activities in which you may be interested to participate.

Please contact AFICS/NY at afics@un.org regarding payment online via UNFCU (preferred method). OR make a cheque payable to "Treasurer AFICS/NY" in US dollars drawn on a US bank and mail to

AFICS/NY, c/o United Nations

405 East 42nd Street

Room U-400

New York, NY 10017, USA

NOTE: The Directory of Members is only sent to individual members on their request. The Directory is intended for personal use only and shall not be used to solicit contributions for any purpose or to advertise a business or service.