New Member Application


Become a member of The New York State Retired Teachers' Association, Inc. today!

You can submit payment online via PayPal
or click and print out the printer-friendly version and mail your payment to the address below.

You may also contact the Albany Office via telephone and enroll with Visa or MasterCard.

 

If you have any questions concerning membership, please contact
Debbie Weisgerber- Executive Assistant
Phone: 518-482-3509
Fax: 518-482-0970
Address: 8 Airport Park Blvd.,
Latham, NY 12110-6414
Email: dweisgerber@nysrta.org

Online Application:

Please check the level that most accurately resembles the primary emphasis of your employment in education.
Subject Area and Grades Taught:
Are you applying as the spouse of a retired educator?
Salutation
First Name*:
Last Name*:
email address*:
Street Address*:
City*:
State*:
Zip*:   
County of Residence*:
Area Code and Phone Number*:
Are you interested in consulting?
Desired Area for consulting:
Date of Birth*: (please format as mm/dd/yyyy)
Are you currently retired?
Seasonal Address:
Seasonal Phone Number:
What year did you retire?
School, District, College or University you retired from:
County and State you retired from:
Membership Level*:
Preferred Payment Method* Check / Mail
Credit Card via Paypal
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