Application for Membership
The TelecomPioneers invites you to join us in the largest industry related volunteer organization in the world with over 500,000 members in North America.
Did a Pioneer refer you?
If so, who
Member Type - Choose one
*
Regular (still working)
Life (retired)
Associate (Spouse/Partner)
Affiliate
First Name
*
Middle Initial:
Last Name
*
Home Phone
Home Address
*
Home City
*
Home State
*
Zip Code
Home email address
Work Phone
Work Address
Work City
Work State
Zip Code
Work email address
Last 4 digits of Social Security Number
*
If you do not know your chapter, you will be assigned geographically by your work location.
Chapter
This is to authorize Verizon Inc. and any Verizon subsidiary or entity by which I may hereafter be employed to make payroll deductions for the payment of New Vision Pioneer dues. Annual dues are $22.00, currently being taken at $1.83 per month. These funds help offset the cost of certain organizational activities including start-up costs for new community service projects. Dues are non-refundable.
Only sign your name if you want payroll dues deductions of $1.83 per month
