| Employment Information |
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| Your Name: |
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| Title/Position: |
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| School Name: |
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| School District: |
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| School Address Line: |
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| City: |
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| State: |
Zip Code:
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| Office Phone & Ext: |
( ) |
| Office Fax: |
( ) |
| Email Address (Required): |
(Required) |
| Mailing Preference |
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Select this option if you want mail
sent to your school address.
Select this option if you want mail sent
to your home address.
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| Personal Information |
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| Address Line: |
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| City: |
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| State: |
Zip Code:
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| Home Phone: |
( ) |
| Social Security # |
(Not Required, Useful
to PAESSP for ACT 48 Reporting) |
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| Membership Selection* |
*Please choose either PAESSP & NAESP or PAESSP & NASSP
based on your current or previous background and primary professional
interests.
Membership runs for 12 months from date of membership activation. Available
immediately upon activation: Employment rights and
liability coverage, Act 93 assistance, legislative and lobbying services,
professional development, publications and resources. Legal aid
is available six months after membership activation.
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PAESSP & NAESP (Elementary) $450
Pennsylvania Association of Elementary and Secondary School Principals &
National Association of Elementary School Principals |
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PAESSP & NASSP (Secondary) $450
Pennsylvania Association of Elementary and Secondary School Principals &
National Association of Secondary School Principals |
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| Payment Options* |
*Membership will not be activated until PAESSP has received a check, purchase order, or been provided
with P.O. information. |
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Personal or School District Check (After
submission, please mail check.)
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School District Purchase Order
(For Immediate Processing, Include P.O. Information
Below. Otherwise mail P.O.)
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Installment Plan ($90 for 5
months) (After submission, please
mail first check.)
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Payroll Deductions (See
Business Manager) (Prior to submission, please
see business manager to enroll.)
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| Please Enter Purchase Order Information (If
Already Available) |
P.O. #:
Date:
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I understand that my membership will not be activated
until PAESSP
has received a check, purchase order, or been provided with a P.O. # and
date:
PAESSP Membership
122 Valley
Road
P.O. Box 39
Summerdale, PA 17093
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