Teachers Saving Children® National Membership Form

	Teachers Saving Children^® Inc. - National
	National and State Affiliate Membership Form	Home

Web note: Neat as it would be to do this as an electronic form, unfortunately that is impossible at the present time. So if you want to join, you'll have to print the form out and do it by hand. Sorry.

(please print or type)

_____________________________________     (______)_____________________________
Name                                      Phone

_____________________________________     _____________________________________
Home Address                              City                State  Zip Code+4
      
_____________________________________     _____________________________________
School                                    County of School

_____________________________________     _____________________________________
School Address                            City                State  Zip Code+4

_____________________________________
Home Email Address

Member (circle any):  NEA  AFT  Ind     Union office held, if any: _____________

Circle one:  Educator     College Student     Retired Educator     Other

I have enclosed my annual dues (Make checks payable to Teachers Saving Children Inc. - National)

	____ $35.00 Regular		____ $15.00 College Student/Retired Educator


I have enclosed an additional contribution in the amount of ________________ to be earmarked as follows:

	____ National		____ State Affiliate		____ Other (_________________)


I would to be actively involved in a Teachers Saving Children^® State Affiliate Chaper:	_____ Yes	_____ No


Signature _______________________________________________  Date ____________________


Make checks payable to: Teachers Saving Children Inc. National
Contributions & Memberships are NOT tax deductible.

Mail to:
Teachers Saving Children Inc. - National
PO Box 125
Damascus OH 44619-0125

Be advised that Teachers Saving Children^® does NOT release any data base information to individuals or organizations. Occasionally, however, we have members who would like to contact fellow local Teachers Saving Children^® members. If you DO NOT want your name, address, or phone number released for this purpose, please check here _________.

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Teachers Saving Children® Inc. - National

National and State Affiliate Membership Form

Teachers Saving Children^® Inc. - National