MEMBERSHIP INTERNATIONAL - Association of Retirees of the IADB

Name [Information with asterisk is mandatory]*
Nombre Apellidos
Address*
Address Dirección 2 City State/County Zip Code Citizenship
Actual/Approximate Retirement Date*
Telephone*
Cell phone*
Email*
IDB ID Number*
Name of spouse / partner
First Last
Your name and address will be automatically included in the member directory, unless you request to be excluded*
- I want to be excluded from the member directory
The Association sends news from the region by email, unless you do not wish to receive them.*
- I don't want to receive daily news
AUTHORIZATION FOR THE DEDUCTION OF THE INTERNATIONAL MEMBERSHIP FEE*
- I authorize the Salaries and Benefits Payment Section of the Inter-American Development Bank to deduct US $ 3 of my monthly pension for the membership fees of the IDB Retirees Association.
From this date
AUTHORIZATION FOR THE DEDUCTION OF THE NATIONAL MEMBERSHIP FEE*
- If you are a local Retiree, you must send a check to the IDB Retirement Association in the amount of US$10 or make a Bank Transferto the Association's Account No. 2585200-9 at the IDB Global Federal Credit Union.
From this date*
Signature (type your name)*
Date*
Signature