ARA Faxback Application

Please fax to 317-915-2510

Call 1-800 806-6160 For Instructions
Application For Membership in The Association of Retired Americans
ARA is a membership Association founded in 1975 and dedicated to the betterment of mature Americans.

	Immediate family members also may use those benefits and services not designated for Primary Card Holder Only
	I understand that I am entitled to all the benefits and services of the Association and that Membership Benefits annual dues are $30.00.
	You may renew your membership immediately using your Visa, Master Card, Discover, or American Express. 1-800-806-6160 from 8:00 a.m. - 5:00 p.m. and renew today!

_____ New Member _____ Renewal ( Member # ___________________ )

Name: ____________________________________ Date of Birth: _____/_____/_____

Address: ________________________________________

City: _____________________ State: ______ Zip: ___________

Residence Phone: ________________________ Business Phone: _______________________

Spouse’s Name: _____________________________ Date of Birth: _____/_____/_____

(Membership Card Issued To Spouse.) (________) Number of persons in household?

*Please Check*	Annual ($30)	3-Year ($75)	5-Year ($125)	Life Membership ($250)

“I acknowledge that this application for membership in THE ASSOCIATION OF RETIRED AMERICANS was not offered or accepted as an inducement for anything except the benefits and services as stated
in the membership brochure in effect on the date of this application.” Signature: __________________________________________________ Date: _____/_____/_____

This Application May Also Be Mailed To:

ARA National Headquarters
6505 E. 82^nd St. Ste. 130
Indianapolis, IN 46250-5507

Please fax to 317-915-2510

New applicants using their Credit Card must complete the entire “ARA FaxBack Application” as well as the following:

Card Type: VISA MASTERCARD AMEX DISCOVER Exp. Date:_____/_____/_____

Card Number:

Signature:_______________________________________ Date: _____/_____/_____