Fillable NATIONAL EDUCATION ASSOCIATION 2020-21 $VSLULQJ(GXFDWRU Rebate Application (Maryland State Education Association)

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NATIONAL EDUCATION ASSOCIATION 2020-21 $VSLULQJ(GXFDWRU Rebate Application (Maryland State Education Association)

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NATIONAL EDUCATION ASSOCIATION
2020-21 $VSLULQJ(GXFDWRU Rebate Application
Complete form and mail or email on or before MAY 1, 2021 to:
Mail: Or Email:
NEA Business & Financial Services
Attn: $VSLULQJ(GXFDWRU Rebate
1201 16th Street, NW, Ste. 410 studentrebate@nea.org
Washington, DC 20036-3290
PLEASE CLEARLY PRINT or TYPE
NEA INDIVIDUAL ID
Or SSN 4
FIRST NAME:
LAST NAME:
CELLPHONE NUMBER:
FORMER
LAST NAME:
ADDRESS:
CITY:
STATE:
ZIP:
PERSONAL EMAIL ADDRESS:
Rebate of $20 for each year you held a $VSLULQJ(GXFDWRU membership up to four years will be issued
SURYLGHGWKHIollowing requirements are met:
1. 2020-21 must be your first year of educational employment and you must currently holdDQ NEA Active
membership. Substitute members are not eligible for the rebate.
2. Previously You were an NEA $VSLULQJ(GXFDWRU member. Please do not submit an application if you have never
KHOGDQ1($$VSLULQJ(GXFDWRUmembership.
➢ Verification of your membership and eligibility will be made by NEA and a rebate check will be mailed to the address
on the application in August 2021. If your address changes before August 2021 please send the updated address
to studentrebate@nea.org
➢ NEA will not contact you prior to mailing your rebate check unless additional information is required. DO NOT
SUBMIT MULTIPLE APPLICATIONS. This could delay processing!
Below is a record of my college or NEA chapter/state affiliate while I was an NEA $VSLULQJ(GXFDWRU0HPEHU
Year(s) NEA ^W/Z/E'hdKZ DZW
tĂƐHeld, e.g., 2019-2021
NEA CHAPTER & STATE or COLLEGE WHEN
^W/Z/E'hdKZ MEMBERSHIP WAS HELD
SIGNATURE: DATE:
For NEA Use Only
)RUPHUO\1($6WXGHQW5HEDWH
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NATIONAL EDUCATION ASSOCIATION 2020-21 $VSLULQJ(GXFDWRU Rebate Application (Maryland State Education Association)

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Completed 8 February 2021

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