Missouri National Education Association

MNEA-Retired Membership Form

Fill out this form, print, and send with check to:
Missouri NEA
Attn: Membership Department
1810 E Elm Street
Jefferson City, MO 65101

Name:

Address:

City:

State: Zip:

Phone Number:

Social Security Number:

School District:

Anticipated Retirement Date/Date Retired:

Signature:

Membership is unified. Please select one, and make your check payable to Missouri NEA.

I want to join NEA-R Pre-Retired and MNEA-R Pre-Retired
($350)

I want to join NEA-R Life and MNEA-R Life
($350)

I want to join NEA-R Annual Retired and MNEA-R Annual Retired
for the year Sept. 1, 2008 - Aug. 31, 2009 ($55)

Dues payments and PAC contributions are not tax deductible as charitable contributions. Dues payments may be deductible as a miscellaneous deduction.