Diablo Valley College Retirees Association Dues and Membership Information for 2025-2026
Name: Spouse/partner (optional): ____
Address: Zip:
City: _____________ State: _____
Phone: ( )__________________________ email: _
PAYMENTS
1) Dues per retiree family for one year: $20
2a) Scholarship Contribution: $
– OR –
2b) Tax Deductible Scholarship contribution: (If you would like your scholarship contribution to be tax deductible, please write a second check made out to the DVC Foundation, and in the “Memo” area write “DVC Retirees Association Scholarship Fund.”)
Complete this form and mail with your dues check to:
DVC Retirees Association 321 Golf Club Road
Pleasant Hill, CA 94523
Please include your return address on the envelope.
We look forward you joining us!
Volunteering for the DVCRA – I would like to help with DVC Retirees Association activities
_________________
Please specify type of help __