Enrollment Form

To join the McCormick Retiree Association, please fill out this form.
Name*
First Last
Membership Eligibility*
- I confirm that I am a McCormick retiree or a current employee within one year of my planned retirement.
- I confirm that I am a former employee of McCormick, with 25+ years of service, and that I was at least 50 years of age when I left the company.
Spouse/Partner name
First Last
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Preferred phone*
Your telephone number(s) will not be published and will be used for internal purposes only.
Preferred phone type*
- Home
- Mobile
Alternate phone
Alternate phone type
- Home
- Mobile
Email*
Enter Email Confirm Email

Your E-Mail address will be used only for McCormick Retiree Association communications, such as major announcements, bus trips, luncheons, and newsletters.
The date you retired or otherwise ended your employment at McCormick*
MM slash DD slash YYYY
The division where you last worked*
Choose membership type and payment amount
Regular membership costs $10 and must be renewed annually at a cost of $5. You may also choose a lifetime membership, at a cost that depends on your current age. (If you choose a regular membership now, you can switch to a lifetime membership at the time of any annual renewal.)
Select your payment below:*
Select your payment option*
- Pay online
- Mail a check

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