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Mississippi American Federation of Teachers, Paraprofessionals, and School Related Personnel,

AFL-CIO 

MS AFT currently offers two payment plans for membership.  Each plan provides twelve months/24hour per day benefits to certified and non-certified members.  To join, select the method of payment most convenient for your budget along with the required items, and mail to: AFT Mississippi 11975 M Seaway Road, Ste B 140  Gulfport, MS 39503.  If you have any questions on these plans or membership benefits, please call 1-800-227-MAFT or e-mail MAFTPRES@aol.com or MAFTCP@aol.com.

Thank you,

Sue Hatem, President

One Year's Full Payment 

$430    Certified- One payment (covers 12 months from date of payment)

$140   Classified - One payment (covers 12 months from date of payment)

$140  Substitute (AFT & MS AFT Benefits year round)

Send Form A and a check or money order for full payment

Monthly Bank Draft

$37     Certified Per Month (12 months' coverage drafted over 12 months)

$12     Classified 12 months (12 months' coverage drafted over 12 months)

$12      Substitute (AFT & MS AFT Benefits year round)

Send Forms A and B, a check for one month's payment and a voided check.

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Form A

Complete and mail w/check to:

AFT Mississippi

11975 M Seaway Road, Ste B 140  Gulfport, MS 39503

PLEASE PRINT

____________________________________________________________________________

NAME

__________________________________________________________________________________________________________________________

ADDRESS

__________________________________________________________________________________________________________________________

CITY                                                                                               STATE                                                       ZIP

(_______)_____________________________(_______)_____________________________

HOME PHONE                                                                                    WORK PHONE

(___________)_______________________________________

CELL PHONE

____________________________________________________  ___________________________________________________________________

SCHOOL DISTRICT                                                               SCHOOL/WORK SITE

_______________________________________________________   ________________________________________________________________

POSITION                                                                                   GRADE,SUBJECT OR JOB DESCRIPTION

_______________________________________________________________________________

OME E-MAIL ADDRESS

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Form: B

Authorization Agreement for Automatic Payments

PLEASE PRINT

Financial Institution Name:_______________________________________________________

___________________________________________________________________________

CITY                                                                                     STATE                                              ZIP

 Transit/ABA No._________________________________________________________________________________ _______________

                                                                          ( The first 9-digit number at bottom oeft of check)

Checking Account Number___________________________________________________________________________________

I hereby authorize the MISSISSIPPI AMERICAN FEDERATION OF TEACHERS to pay my monthly dues by charging each payment to my account and to make that deduction payable to the order of AMERICAN FEDERATION OF TEACHERS.  I agree that each payment shall be the same as if it were an instrument personally signed by me. This authority is to remain in effect until revoked be me IN WRITING.

In addition, I have the right to stop payment of a charge by timely notification to my local's Treasurer (in writing) prior to the 15th of the preceding month.  I understand, however, that both the Financial Institution and AMERICAN FEDERATION OF TEACHERS reserve the right to terminate this payment plan (or my participation therein).  I will be responsible for any fees charged for non sufficient funds and/or returned checs.

Date:_______________________________ ____Signature:_______________________________________________________________________

Please return this authorization and a voided check on your account to the above address.

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