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Missouri NEA
Annual Renewal Form
2018-2019 School Year

*Required

Step 1: Verify or correct your personal contact information below.

Personal Information

Name

First*
Middle

Last*

Suffix (Jr., Sr.)

Is this a name change? *
YesNo

Do you have changes for mailing address, email address or phone number? *
YesNo
Mailing Address

Street*

Apt/Suite

City*

State*

Zip*

Email Addresses
Home*

Work*

Phone Number (Enter your phone numbers without hyphens, parentheses or spaces.)
Work*
Cell* (or Home, if you do not have a cell number)	CellHome

Work / Local Association Information

If you have a change in employer or work location, please contact your MNEA Regional Office.

NEA ID #:

Employer/Local Assoc:*

Work Location:

Step 2: Read, complete and sign the authorization below.

Payment Authorization Agreement

*Place a check mark in the box below. In signing, I grant my permission for continuous payments of my membership dues for membership year 2018-19 at the annual rate established by NEA, MNEA and my local association. In addition, the Missouri legislature is requiring me to annually authorize my Ballot Issue Crisis Fund and Local/State Legislative/Political Action Fund contributions below.

Ballot Issue Crisis Fund
I understand that my annual contribution to the Ballot Issue Crisis Fund is not new and has been collected as part of my dues for the 2017-18 membership year. In signing, I authorize continuing my current voluntary contribution of $13 (ActiveProfessional) or $6 (Active Support Professional). I can adjust that rate up or down by writing a different amount here
* $ .00

Local and State Legislative Political Action Fund
In signing, I authorize an annual $12 voluntary contribution--$1 a month--(split 50/50 between my local and state legislative/political action fund). The local fund is used to support local levy/bond elections or to support recommended school board candidates. Or I choose to adjust the amount to * $ .00
(If the amount shown here does not have an asterisk (*), then that is the amount you elected to contribute to PAC last year.)

Member Signature:
Use mouse or finger (for touch screen users) to draw your signature below.

Step 3:Click the submit button to complete MNEA membership renewal.
Once submitted you will receive an email receipt and see a green check mark. If your form does not submit, review the above fields to see if all information has been filled out completely. A red error message will display next to the field if you need to provide more information.

MNEA/KNEA
Read to Achieve Contest

If your school is within the KCTV5 viewing area (greater Kansas City), teachers at your school are eligible for a chance to win $1,000. The Read to Achieve contest is co-sponsored by Missouri NEA and Kansas NEA.

Contest Entry >>

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Missouri NEA Annual Renewal Form 2018-2019 School Year

Missouri NEA
Annual Renewal Form
2018-2019 School Year