WVEA-Retired

WVEA Retired
WVEA/NEA 2014-2015
1558 Quarrier Street
Charleston, WV 25311

Please print, complete and mail the registration form below with payment.

Name (last, first, m.i.): _______________________________________
Mailing Address: _______________________________________
City, State, Zip: _______________________________________
Phone: (_______) _______ - _____________
Social Security Number: ______ - ______ - ____________
Date of Retirement: ____/ ____/ _____
County Retired From: _______________________________________

ANNUAL MEMBERSHIP

Association Payment
NEA $30.00
WVEA $15.00
SUBTOTAL: $45.00
Optional PAC:
NEA/FCPE $___________
WVEA/PAC $___________
TOTAL: $___________
NOTE:
  • If you retired prior to 9/1/73, you may change the NEA dues amount from $15 to $5, but only NEA.
  • Suggested Optional PAC: $15 NEA-FCPE; $15 WVEA-PAC

OR

LIFE MEMBERSHIP

Association Payment
NEA $250.00
WVEA $100.00
SUBTOTAL:

$350.00

Optional PAC:
NEA-FCPE $___________
WVEA-PAC $___________
TOTAL: $___________
Suggested Optional PAC: $15 NEA-FCPE; $15 WVEA-PAC

The National Education Association Fund for Children and Public Education (NEA-FCPE) collects contributions from Association members and uses those contributions to help elect friends of education to federal office. The West Virginia Education Association Political Action Committee (WVEA-PAC) performs a similar function in connection with elections to state office. Contributions to NEA-FCPE and WVEA-PAC are voluntary and are not a condition of membership in NEA, WVEA, or any of their affiliates. Although NEA-FCPE and WVEA-PAC request an annual contribution of $15 and $15, respectively, these are only suggestions. A member may contribute more or less than the amount suggested or may refuse to make any contribution and this will not affect his or her membership status, rights or benefits in NEA, WVEA, or any of their affiliates. You must be a member of NEA if you wish to contribute to NEA-FCPE and a member of WVEA to contribute to WVEA-PAC.

Dues payments and contributions to NEA-FCPE and WVEA-PAC are not deductible as charitable contributions for federal income tax purposes. Dues payments may be deductible as a miscellaneous itemized deduction.

If you wish to contribute, please write your contribution amount in the boxes marked for NEA-FCPE and WVEA-PAC and total in the contribution amount column.

Member's Signature ________________________________

Date: ____/ ____/ _____

Retain a copy for your records.