Affiliate Membership / Authorization Form

An affiliate member is a retired teacher in receipt of a pension from outside of Nova Scotia

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Name

Address

Town / City

Postal Code

Phone #

Email

Branch To Which I Prefer to Belong Annapolis Halifax CPX Pictou Antigonish/Guysborough Halifax City Queens AERBaie SainteMarie (Clare) Halifax County Richmond Colchester East Hants Inverness Shelburne Cumberland Kings Sydney & Area Dartmouth Lunenburg West Hants Digby New Waterford Yarmouth/Argyle Glace Bay & Area Northside Victoria Out of Province

Name of Applicant From Out of Province

Former Province

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Payment

I hereby provide the $36.00 yearly fee for membership in the RTO. *A temporary card will be issued*

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Newsletter

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

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Affiliate members have the full rights, privileges and responsibilities of membership except to hold provincial office of the Organization and are entitled to all the rights and privileges accorded to active members such as:
-Travel Club
-Home & Auto Insurance
-Health - (Medavie - Blue Cross)
Please check our web site at http://rto.nstu.ca for additional information or call 1-800-565-6788 or 477-5621 in the Metro area.

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