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 Rs5420 2013

Rs5420 2013

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MEMBER. Instructions: Please print clearly in ink or type. Application must be signed and notarized on last page. Employee: Complete items 1–3, 10–13 on page 2 and other applicable sections. Employer: Complete items 4–9a. FOR A REGISTRATION NUMBER: Call 1-866-805-0990 or (518) 474-3081. Or fax the application to (518) 486-4382. This completed membership application must be mailed to the Retirement System for the membership to be effective. Receipt Stamp For OSC use only IMPORTANT...
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