Current members, please complete & return ONLY if
you have CHANGES
City ______ State Zip Code __________
Email Address: _______________________________________________________________
Your email address will be the primary method of PARC communications.
Your Membership Status (check one) Retiree
Surviving Spouse/Domestic Partner
Spouse/Domestic Partner Name __________________________
Spouse/Domestic Partner an Alcoan? Yes No
Secondary Occupational Specialty
Yes, I would like to volunteer in the ______ No, I cannot
following area(s): volunteer at this time.
_______ Appointed position ( Auditor, Membership, Newsletter, Program Committee, Website, Entertainment/Cultural) (circle interests)
Mail to: PARC, 201 Isabella St., Pittsburgh, PA 15212-5858
If you have any questions please contact Linda Hurteau or e-mail email@example.com
Note: This data will be used for PARC information purposes only and will not be distributed for any other purpose.