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7408 - CCEA Online Membership Form
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First Name
*
Middle Name
Last Name
*
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Mailing Country
*
United States of America
Mailing Address
*
Mailing City
*
Mailing State
*
- Select -
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
US Virgin Island
Washington
West Virginia
Wisconsin
Wyoming
Mailing Zip Code
*
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Date of Birth
Date
E.g., 2023-03-30
Personal E-mail
*
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School or Worksite
*
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Last 4 digits of your Social Security Number
*
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Home or Mobile Phone
*
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Select your membership category
Select your membership category
CCEA Dues
Dues Amount
$0.00
Total
* draft
privacy-policy
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Authorize 1
Payroll Deductions - 24 deductions of $27.06 (annual dues of $649.44)
CCEA only deducts dues when the application is processed and will only collect dues moving forward. Back dues are not required.
Authorize 2
Membership Commitment:
Yes, I want to join my colleagues by becoming a member of the NEA, AFT, FEA, AFL-CIO, Service Unit, and Clay County Education Association (CCEA). I hereby request and voluntarily accept membership in the NEA, AFT, FEA, AFL-CIO, Service Unit, and CCEA, and agree to abide by the Constitution and Bylaws of all organizations.
Authorize 3
Annual Payment Authorization:
Yes, I authorize payment by cash, credit card, electronic funds transfer or the Clay County School District to deduct from my pay in each pay period a pro-rata portion of the annual dues, fees and assessments required for membership in the NEA, AFT, FEA, AFL-CIO, Service Unit, and CCEA. I fully understand that the annual dues required for membership in the six organizations are subject to periodic change by the six governing bodies of the organizations. This authorization continues annually regardless of my membership status, unless (a) I revoke this authorization upon 30 days’ notice in writing sent via email, fax or US mail to the employer and employee organization according to Florida Statue 447.303, or (b) my employment with the school district ends. I understand that this agreement is voluntary and is not a condition of employment, and that I have the legal right to refuse to sign this agreement without suffering any reprisal.
Print your name
Date
Date
E.g., 2023-03-30
Signature field is required
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