Application for Membership

Retired Employees of the City and County of San Francisco
 (RECCSF)

Name:_____________________________________________________________________________

Last department:____________________________________________________________________

Street address:______________________________________________________________________

City:________________________________________ State:_______________ Zip code: ________

Email:____________________________________________________ Date of birth:____________

Spouse/partner:__________________________________________ Retirement date: ___________

Telephone:_______________________________ Cell:______________________________________

	 Who invited or provided your application:________________________________

Membership categories
 (Check one.)     Annual__________   Life__________

New members, please note! 
Promotional introductory rate for new members only;
a one-year membership for $25. 
Annual dues of $68 per year will be billed thereafter.

Lifetime membership dues are $600 (payable over four months in four payments of $150 per month—or, annually over four years in increments of $150 per year).

Please mail your completed application, with a check
payable to RECCSF to: RECCSF office, 3915 Irving Street, San Francisco, CA 94122.

For more information, contact the office at 1 (415) 681-5949 or reccsf@att.net.

One of RECCSF’s main goals is to continue to build our greatest possible
 membership base, in order to continue to safeguard the interests and benefits of
all retired San Francisco City &County Unified School District,
 Community College and Superior Court employees.

(Updated: 4/14/2023)