Broward County
Retired Educators' Association
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Membership Application
First Name
Last Name
Address #1
Address #2
City
State
ZIP
Home Phone
Business Phone
Cell Phone
E-Mail
Birthday
Please check the activities in which you would like to become involved:
Annual Luncheon
Community Service
Hospitality/Social
Club Scrapbook
Cultural Affairs
Directory
Health & IPS
Legislation
Literacy
Newsletter
Phone Committee
Scholarships
Membership
Publicity
Date that you retired
Retired from (school and/or position)
Other schools where you were employed :
Complete this application, print it and send with $65.00 (made out to BCREA) for annual dues to: LuAnn Comes,
BCREA Membership Chairman • 107 NW 107 Terrace• Plantation, FL 33324 • 954-475-1510