Membership Form  2016-2017

Mail to:  PAT-Retired,  345 NE 8th Avenue, Portland, OR 97232-2708

with your $10 check payable to PAT-Retired.

Name _______________________________________     Date________________

                               (first)                              (last)

Street ____________________________________________________________

City/State _____________________________ Zip Code _____________________

Telephone _____________________ Home e-mail  _________________________

Year Retired _______________      School District ___________________________

Building ___________________   Subject and/or Grade Level __________________

If a substitute in only the Beaverton or Portland school districts, please check ____

Annual PAT-Retired Dues: $10.00

SIGNATURE __________________________________   Check _____    Cash _____

PAT-Retired membership is contingent upon
completing separate membership form and check
for OEA-Retired and NEA-Retired for unified membership.

To join NEA-Retired and OEA-Retired,

go to https://sites.nea.org/JoinNea/ 

(online registration and payment for both NEA and OEA)



(download paper application for both NEA and OEA)