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

Full 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. 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