Membership Change Form

Current members may use this form to submit a change of address or other information.  This form may also be used to authorize annual dues deduction from your retirement/pension check.  

Please print this form, complete and mail to:

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

Local Association: 

NEW INFORMATION: (please leave blank if no change)

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:

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