Indiana Federation of Teachers
AFT/AFL-CIO
Rick Muir, President

Teacher*
Membership-At-Large - 2008-09

Name ______________________________________________________________

Home Address _______________________________________________________

City ______________________________ State _______ ZIP ___________

Home Phone (            )________________ 

Work Phone (            )  _______________

School district/University _______________________________________________

Level/Subject Area/Position _____________________________________________

                                                Signature ___________________________________

                                                Date ______________________________________

Effective 9/1/2008 through 8/31/2009:  
Please enclose a check or money order in the amount of $321.00 for one year membership-at-large to the Indiana Federation of Teacher, AFT/AFL-CIO.  Or make two semi-annual  payments each in the amount of $160.50.  Make your check or money order payable to the Indiana Federation of Teachers and mail to:

6021 W. 71st Street
Indianapolis, Indiana 46278

* Teachers who teach less than full time or non-certificated employees may go to http://www.iftaft.org/para_mal_application.htm or contact IFT for dues information.  Email: office@iftaft.org. 

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