CTA/NEA
-
Retired
STRS Enrollment
Continue to enjoy your CTA/NEA member benefits which include:
Legal
consultation for retirement
related issues
,
benefits, substitute employment
and other concerns
$1
M
illion
Educators Liability Insurance
Entertainment, travel and purchasing discounts for members and their families
Continuing Insurance Plans
–
Auto, Home, Life, Long Term Care & more
Home and personal
loans and other financial services
Retiring now? You can join for only
$4.5
0 per month deducted from your STRS Pension
Check.
Use the form below to join. Already a member? Pass this along to a colleague.
Send completed form with check or money order
(if applicable)
made payable to CTA/NEA
-
Retired to:
CTA Membership Accounting, P.O Box 4178, Burlingame, CA 94011
-
4178
Name_____________________________________________
_______________________________
_____________________
First
Name
Middle Initial
Last Name
Address
_______________________________________ City__________________________ State ___
_
__ Zip____________
Email____________________________________________
Home
Telephone______________________________ Cell
Caucasian African
-
American
Asian/Pacific Islander
Voluntary
Ethnicity
ID
Hispanic
American Indian/Alaskan Native
Other
District retired/
retiring from______________
____________________________
_
Retirement Date___________________
Signature_________________________________________________________
Date__________________
Signature Required
SELECT PAYMENT OPTION:
Monthly CalSTRS Deduction
-
$4.50 monthly ($54
Annually)
Credit Card or Check
I hereby authorize the State Teachers Retirement System to deduct
my CTA/NEA
-
Annual Retired
membership dues from my monthly
retirement benefit check. I understand that CalSTRS will forward such
authorized deductions to CTA for processing. If necessary, CTA/NEA
-
Retired dues may be increased or decreased without additional
authorization from me.
This authorization is to remain in force from
year to year until revoked or revised by me in writing.
S
ocial Security Number
(
r
equired by CalSTRS
):
_______________________________________
$60
-
Annual $450
-
Lifetime
$450
-
Pre
-
Retired
Lifetime
(O
ne
-
time payment)
(O
ne
-
time payment)
I have enclosed a check made payable to: CTA/NEA Retired
Please char
g
e my Visa, MC, AMEX, Discover (circle one)
________________________________________
_________
Card Number
Exp. Date
9/13
Join now and SAVE!
Join CTA/NEA
-
Retired and help
preserve
and improve STRS and Social Security