NATIONAL EDUCATION ASSOCIATION
2010-2011 Student Membership Rebate Application
Mail before May 1, 2011 to:
NEA Membership Records
ATTN: Student Rebates
1201 - 16th Street, N.W.
Washington, DC 20036-3290
SOCIAL SECURITY NUMBER: _______ - _______ - _______ (We MUST have this number)
NAME: _________________________________________
FORMER LAST NAME, IF APPLICABLE: _________________________________
ADDRESS: _________________________________________
CITY, STATE, ZIP __________________________________________
I certify that 2010-2011 is my first year of Active membership eligibility and I am an NEA Active member.
My Local Affiliate is: ______________________________________
My State Affiliate is: ______________________________________
Below is a record of my former Student membership:
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COLLEGE OR CHAPTER & STATE
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YEAR(S) A MEMBER
(e.g. 2003-2004)
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SIGNATURE: ________________________________ DATE: _______________
PRINT, DETACH & MAIL PRIOR TO: MAY 1, 2011 DEADLINE
- The 2010 - 2011 must be your first year of educational employment and you must hold NEA Active membership. Substitute members are not eligible for the rebate.
- The application must be completed and mailed to NEA by May 1, 2010. Be certain to provide ALL requested information.
- Rebates will be issued for $20 for each year of NEA Student membership up to four years.
- Verification of your membership will be made by NEA and a rebate check will be mailed to you in August 2011.
- NEA will not contact you prior to mailing your rebate check unless additional information is required.