INTERIOR DEPARTMENT
RECREATION ASSOCIATION
MEMBERSHIP APPLICATION
Please mail to:
Total Merit Solutions
1100 Connecticut Avenue
Suite 900
Washington, DC 20036
Phone: 202-331-0004
Fax: 202-331-7779
Last Name _______________________MI
____ First Name___________________
Street Address_______________________________________________________
City ___________________________ State
______ Zip Code_________________
Male _____ Female _______ Date of Birth
___________
Office Phone ( ) ___________________
Home Phone ( )_____________________
E-Mail ____________________________
Type of Payment:
Option A
___ $13.00 Annual Association Fee for DOI, OPM, OAS employees
___ $15.00 Annual Association Fee for GSA, & other employees
Option B
___ $28.00 IDRA Membership PLUS
Employment:
___ OPM ___ OAS ___ GSA ___ STATE ___ RED CROSS ___Others
DOI employees please check the bureau
___ BIA ___ BLM ___ BOR ___ FWS ___ MMS ___ NBC
___ NPS ___ OIG ___ OS ___ OSM ___ USGS ___ SOL
Other: _______________________________
Signature _______________________________ Date _______________________
Office use only:
Member Number ___________ Effective
Date ____________________
Action Plan Type __________________
Amount Paid ______________