Update Your Contact Information – SUNY Retirees Network Members

Not a Member? Join Now Using the SRN Retiree Registration Form

The Retirees Service Corps appreciates your membership in the SUNY Retirees Network (SRN). Please help us keep our Network database up-to-date by using this form to notify us whenever your contact information changes. The information will be used for recordkeeping/secure online retiree directory purposes only. If you signed up for the directory when you joined the SRN, we will only include the contact information you approved for listing.

Any item denoted with a * is required

ORIGINAL INFORMATION

*First Name:			            *Last Name:


*Phone #:			            	*E-mail:




NEW INFORMATION

*First Name:			            *Last Name:


*Phone #:			            	*E-mail:



*Describe New Information to be Updated:


*Verification:
__________________________________		____________________
	 	Signature					   Date 

Please fax the completed form to (518) 320-1546 or mail it to:

SUNY Retirees Service Corps
State University of New York
State University Plaza, N408
Albany, NY  12246

Thank you.






SUNY RETIREES NETWORK – RETIREE REGISTRATION

Please provide the following information to be included in the SUNY Retirees Network. This information will be used for registration purposes only. 

Any item denoted with a * is required

*First Name:			            *Last Name:


*SUNY Campus you retired from:



*Year retired from SUNY: 



*Telephone:
			
				

*Email:	



		
*Verification:

__________________________________		____________________
	 	Signature					   Date 


Please fax the completed form to (518) 320-1546 or mail it to:

SUNY Retirees Service Corps
State University of New York
State University Plaza, N408
Albany, NY  12246

Note: Once this information is received, someone from the SUNY Retirees Service Corps (RSC) will reach out to you to verify your contact and other information before it is included in the database.