Join or Renew Online Membership

MEMBERSHIP FORM

WASHINGTON STATE SCHOOL RETIREES’ ASSOCIATION

PO BOX 5127, LACEY, WA 98509

WSSRA Cash dues -

$84 annual dues will be charged to your Credit Card or Debit Card with Auto Renew.

Dues will be renewed annually.

First Name

Middle Name

Last Name

Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Phone Number

Personal Email

example@example.com

Verify Email *

SS Number

Please select your Unit.

Retirement Date

(Month and Year)

Retirement Plans

School District (where last employed)

How did you hear about us?

Agent:

Please let us know the Agent or AMBA Representative that assisted you?

WSSRA ( $ 84.00 for each year )

Membership Dues

Email