7421 - Online Membership Form

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First Name *

Middle Name

Last Name *

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Mailing Country *

Mailing Address *

Mailing City *

Mailing State *

Mailing Zip Code *

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Home Phone

Mobile Phone

Work Phone

Preferred Phones

preferred

Personal E-mail *

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School or Worksite *

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GRADE & SUBJECT AREA or POSITION: *

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Select your membership category

Dues Amount

$0.00

Total * draft

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Authorize

PAYROLL DEDUCTION AUTHORIZATION:

As an FCTA member, I am eligible to receive benefits under the NEA Educators Employment Liability (EEL) Program as well as access to NEA/AFT/FEA Member Benefits programs. As a condition of eligibility for these benefits, I agree to pay membership dues for the remainder of the 2020-2021 membership year in accordance with established payment procedures. Should I fail to do so, my eligibility to receive benefits shall terminate immediately.

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$0.00