PORTLAND AREA TEACHERS –RETIRED

Membership Form  2012-2013

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

with your $10 check payable to PAT-R.


Name ____________________________________________________________

                    (last)          (first)          (initial)

Street ____________________________________________________________

City/State _____________________________ Zip Code ____________________

Telephone _____________________ E-mail address _________________________

Year Retired _______________                 Annual Local Dues Amount: $10.00


SIGNATURE _____________________________________________


To be a member of PAT-R,

you must also be a member of OEA-Retired and NEA-Retired

or

OEA-Pre-Retired and NEA-Pre-Retired.

To join NEA-Retired and OEA-Retired, go to https://sites.nea.org/JoinNea/ 

or

contact Oregon Education Association at 503-684-3300 or 800-858-5505

or

http://www.oregoned.org/site/pp.asp?c=9dKKKYMDH&b=174970