OCCTA - Membership Form | AFT Forms Portal

personal-information-1

First Name *

Middle Name

Last Name *

billing-address

Mailing Country *

Mailing Address *

Mailing Suite

Mailing City *

Mailing State *

Mailing Zip Code *

personal-information-2

Home Phone

Mobile Phone

Work Phone

Preferred Phones

preferred

Personal E-mail *

Work E-mail

custom-field-1

Employee ID

custom-field-2

Worksite

custom-field-3

Opt in for Text Messages

Yes

custom-field-4

Union Activists Needed! Check if you are interested in working for your union.

Being a part of the school or worksite leadership team

Membership and Organizing

Government Relations

Professional Development and Training

Human and Civil Rights

custom-field-5

Recruiter

payroll-deduction

membership-wrapper

Select your membership category

Dues Amount

$0.00

Total * draft

privacy-policy

legal-wrapper

Authorize

I authorize and request Orange County School Board to deduct Orange County Classroom Teachers Association dues and assessments from my bi-weekly pay, and to transmit the deducted amounts to the Association office. I understand the School Board will discontinue dues deduction upon 30 days’ written notification to both the Association and Board.

I understand that dues, assessments, contributions or gifts to the OCCTA are not tax deductible as charitable contributions for federal income tax purposes although a portion of the dues may be tax deductible under other provisions of the Internal Revenue Code

Print your name

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

Math question * 3 + 3 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.

Leave this field blank

We're sorry but our site requires JavaScript enabled in your browser.

$0.00