RTOM FORM-AFFILIATE ”A“ MEMBERSHIP - Retired Teachers Organization of the NSTU

Affiliate ”A“ Membership Application

An affiliate member A is a retired teacher in receipt of a pension from outside of Nova Scotia.
Member Information to be shared with Branch Presidents:

NAME

DATE OF BIRTH

ADDRESS

TOWN/CITY

POSTAL CODE

PHONE

BRANCH TO WHICH YOU WOULD LIKE TO BELONG

RTO NEWSLETTER EMAIL OPTION

Please check this box if you prefer to receive The Retired Teacher newsletter by email instead of regular mail.

The Retired Teachers Organization (RTO) is committed to respecting privacy and protecting personal information. All personal information collected is managed and maintained according to the principles outlined in the RTO Privacy Principles.

PAYMENT

I hereby provide the $48 (cheque only) yearly fee for membership in the RTO. * A temporary card may be issued with the permanent card to follow.

AUTHORIZATION GIVEN:

SIGNATURE

Please scan/photograph and upload your signature (2 MB limit, JPEG, PNG, GIF or PDF).

DATE

Please mail your $48 fee to:

RTO/NSTU,
3106 Joseph Howe Dr
Halifax, NS
B3L 4L7

Affilliate members have the full rights, privileges and responsibilities of membership except in matters of voting and holding office of the Organization and are entitled to all the rights and privileges accorded to active members such as:

• Deals and Discounts
• Travel Club & Home & Auto Insurance
• Health (Medavie / Blue Cross)

Please check our web site at rtonstu.ca for additional information or call 1-800-565-6788 or 902-477-5621 in the Metro area.

Affiliate ”A“ Membership Application

An affiliate member A is a retired teacher in receipt of a pension from outside of Nova Scotia.Member Information to be shared with Branch Presidents:

An affiliate member A is a retired teacher in receipt of a pension from outside of Nova Scotia.
Member Information to be shared with Branch Presidents: