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   Subtitle

LWREA Membership Application

Complete the online application and mail your $45 check to:

 Nanci Hamiton-Hoffman, Treasurer
1828 Wagon Wheel Circle West
Tallahassee, FL 32317


Yes
No

Send more information ONLY
Yes
No

Send information on my local Unit
Yes
No

Process my application for membership
Yes No

General Member (Retired Professional Educators, Teachers, Administrators and School Personnel
Yes No Associate Member (Spouses of General Members, Other Annuitants in the Florida Retirement System, Current Teachers or Friends of Education)
First and Last Name:
School or District Retired From
Date of Retirement:
Month and Day of Birth (ie 11/25)
Address:
City, State and Zip
Telephone (please include area code)
Email Address
Any additional comments,
questions or information
requests

You will receive a printable copy of your application upon submission.
Please print this copy for your records.