Application for Membership

To view and print a MRSPA Membership Application with Acrobat Reader click here.

Or print this form, complete and mail to:

MRSPA
8379 Piney Orchard Parkway, Suite A
Odenton, MD 21113

Name:

Please complete:
State Dues $25 + Local Dues (see dues chart below) $_____ = Total Dues $_________

Which local association do you wish to join? _________________________________________

To authorize having your dues deducted annually from your Maryland State Retirement/Pension System please sign below.

I hereby authorize the Maryland State Retirement/Pension System to deduct annual membership dues for the state and local Retired Teachers Associations from my retirement/pension check each year.

Signature (to authorize dues deduction):                                                                 Date: