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New Member Application – **** Please allow 3 business days for applications for enrollment to be processed through our database****
Become a member of The New York State Retired Teachers’ Association, Inc. today!

You can submit payment online or contact our office and enroll with a Visa or MasterCard.

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

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