Gulf Coast Retired Membership Form

A Unified Retired Membership

Gulf Coast Retired, FEA Retired, NEA Retired and AFT Retired

(The membership year runs from September 1 through August 31.)
Annual Retired Dues for Unified Retired Membership in Gulf Coast Retired, FEA Retired, NEA Retired and AFT Retired:
Instructional $57
Education Staff Professional $43

Lifetime Retired Dues for Unified Retired Membership in Gulf Coast Retired, FEA Retired, NEA Retired and AFT Retired:
Instructional $500
Education Staff Professional $380
Name
Address
City
State
County
Zip Code
Last 4 Digits of Social Security #
Phone
Email
example@example.com
Name of Final OCSD School Employment
Retired Local: Gulf Coast Retired
Signature

Clear
Date

MonthDayYear
Date
Please make your check payable to Gulf Coast Retired and return to:

Gulf Coast Retired
OCEA/OESP
348 Valparaiso Pkwy
Valparaiso, FL 32580
UNIFIED MEMBERSHIP IS REQUIRED
Membership Dues Are Not Deductible as Charitable Contributions for Federal Income Taxes.
Should be Empty: