AFSA Retirees Membership Form

This form must be accompanied by payment (SF-1187, check, or credit card) in order to be processed for membership.

Personal Information:













All retired FS employees, surviving spouses, and other federal retirees who
served overseas in a diplomatic capacity are eligible for membership.
Retired FS
FS Spouse
Retiree Associate

*This information is for AFSA's internal use only. We do not sell our membership list or otherwise release personal information to third parties.

Fee Chart:

FS Annuity
Current Annual
Current Biweekly
Annuity under $25,000
$63.70
$5.30
Annuity of $25-50,000
$100.00
$8.35
Annuity of $50-75,000
$133.60
$11.15
Annuity over $75,000
$167.20
$13.95
Retiree Spouse
$50.00
$4.15
Retired Associate
$62.90
N/A
Associate
$102.75
N/A
Lifetime Membership
$1000.00
N/A

Credit Card Information:



Visa MasterCard