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NEA Student Rebate Form

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2016-2017 Student Membership Rebate Application

For a PDF of the form listed below- click here

Mail before May 1, 2017 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 2016-2017 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:

COLLEGE OR CHAPTER & STATE
YEAR(S) A MEMBER
(e.g. 2009-2012)
   
   
   
   

SIGNATURE: ________________________________ DATE: _______________

PRINT, DETACH & MAIL PRIOR TO: MAY 1, 2017 DEADLINE

  1. The 2016-2017 must be your first year of educational employment and you must hold NEA Active membership. Substitute members are not eligible for the rebate.
  2. The application must be completed and mailed to NEA by May 1, 2017. Be certain to provide ALL requested information. Checks will be sent from NEA in August of 2017.
  3. Rebates will be issued for $20 for each year of NEA Student membership up to four years.
  4. Verification of your membership will be made by NEA and a rebate check will be mailed to you in August 2017.
  5. NEA will not contact you prior to mailing your rebate check unless additional information is required.