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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
First*
Middle
Last* 
Suffix (Jr., Sr.)

Is this a name change? *
 



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)
 
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. 
     

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.)              

 

             
           
           

           

   
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.

 





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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 >>