Join Cobb County Association of Educators

To Join CCAE: Complete this form and SIGN at the bottom.
FAX to 770-919-2272 or MAIL to CCAE, 386 Lawrence Street, Ste. 200, Marietta, GA 30060

Please Check One - I am a :
Full-time teacher
ESP or 1/2 time (or less) teacher
Social Security Number:
First Name:
Last Name:
School:
Position:
Address:
City:
   
State:
Zip:
Phone:
Email:
Optional Information
Interest Areas:
Building Representative
Membership
Teachers Rights
Political Party Affiliation:   Optional
Please check all that apply:
Community Outreach
Legislative Concerns

Payroll Deduction: 2008-2009  I hereby authorize the system to deduct the full amount of my Association dues in the number of installments set by the Central Office (currently 12).  The annual dues include a refundable contribution of $16 for certified / $13 for ESP to the GAE and CCAE Political Action Committees (PAC) and $2 to the Georgia Foundation for the Improvement of Education (GFIE).  PAC contributions help elect friends of public education and are not deductible as charitable contributions for state or federal income tax purposes.  GFIE contributions help fund the Foundation for the Improvement of Education and are tax deductible as charitable contributions for state and federal tax income purposes.  Both PAC and GFIE contributions are voluntary and not a condition of membership.  Contact CCAE at 770-420-9198 for refund information.  The non-refundable portion of GAE dues allocated to lobbying is four percent (4%).  The remaining dues (or part) may be deductible as a miscellaneous itemized deduction. I hereby apply for continuous membership in GAE/NEA and the local association.  I understand that I have signed a binding contract to pay total annual dues for the current membership year and each year thereafter.  I may revoke this authorization only by written notification to GAE, my local association, and employer  by September 30 of each year.
 Exit forms may be obtained by emailing CCAE’s membership processor at
ccaemember@bellsouth.net.  Your elected membership delegates will set final dues amounts in July.  However, it is estimated that monthly dues will be $43.37 for full time teachers and $26.83 for ESP and ½ time teachers, beginning in August 2008.

 
Signature:__________________________________Date:_____________
CCAE Rep. (optional)________________________________
Office codes: Local 633 Uniserv 3 District 2
Thank you for taking the time to join CCAE.