Professional Educators of Sierra Vista Arizona Professional Educators by liuhongmeiyes

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									                   PROFESSIONAL EDUCATORS OF SIERA VISTA
                  AZPE MEMBERSHIP APPLICATION FOR 2007 - 2008
Mr./Mrs
Ms./Miss_____________________________________________________Home Phone___________________________

Home
Address___________________________________________________City________________________Zip__________

School______________________________________________________School Phone___________________________

Dristrict_______________________________Home Email Address___________________________________________

                  [ ] New member                                                             [ ] Renew, Member

I would prefer to receive the AZPE newsletter by                             [ ] Regular mail                                   [ ] Email

Required for Liability Insurance: (Please check & complete all that apply)

[ ] Classroom Teacher                                  [ [ Elementary – grade(s)_______________________________
[ ] Special Ed Classroom Teacher                       [ ] Jr./Middle – subject_________________________________
                                                       [ ] High school – subject________________________________
[]   Counselor/Nurse/Specialist: (position)________________________________________________________________
[]   Administrator: (position)__________________________________________________________________________
[]   Classified: (position)______________________________________________________________________________
[]   Coach: (sports)__________________________________________________________________________________

PLEASE NOTE; DUES ARE FOR THE ACADEMIC YEAR. UNFORTUNATELY, WE CAN’T PRORATE
FOR A PORTION OF THE YEAR.

                                                          MEMBERSHIP

[ ] PESV/AZPE 1st Time Membership ½ price                 .   .     .    .    .   .   .. .       .       .       .. .           .    .   .   .   $100.00

[ ] PESV/AZPE Professional Membership (includes liability insurance) .                 .     .   .   .       .    .     .   .       . . .    .   .$200.00

                                                     PAYMENT METHOD

[ ] Check enclosed       CK#__________________________ (make check payable to AZPE )

[ ] Credit card   [ ] VISA [ ] MASTERCARD               #____________________________________ex. Date:_____________

Signature:______________________________________________________
                  (I authorize AZPE to renew my membership annually by charging my credit card on 1 August of each year.
                           If I choose to revoke this authorization, I must notify AZPE in writing, prior to 1 August.)

[ ] Payroll deduction     SSN:__________________________________or School I.D. #___________________________

I support the Professional Educator principles, philosophy, & goals and apply for membership in
PESV/AZPE.
           ________________________________________________________________________________
                        signature                                                    date

Newly Recruited By________________________________________________________________________

Mail to: Arizona Professional Educators Membership                      1307 E Southern Ave. Suite 204                              Mesa, AZ 85204
                  Professional Educators of Sierra Vista
                     Arizona Professional Educators
                               Rights – Respect – Responsibility
                    Member of the Coalition of Independent Education Associations
                         Partner of the Association of American Educators

Dear Colleague:

Arizona Professional Educators is a non-profit organization committed to supporting those who work
with children in Arizona’s schools by providing them with liability insurance, legal services, and
employee rights representation. We are strictly apolitical, which enables us to offer these services to
teachers at a low rate. In fact, first-time members will pay a half-price rate for these great member
benefits.

AZPE membership benefits include:

    $2 million Professional Liability & Employee Rights Insurance

    Preventia-personal legal services plan

    PerksCard-consumer discount service (to great places like Starbuck’s!)

    American Income Life-Free $2,000 Accidental Death & Dismemberment policy

    Discounts on auto insurance through Horace Mann Insurance

    Optional Merastar auto & homeowners insurance discounts

    Free financial planning services through Primerica

    Professional representation with employment issues

    No politics or social issue indoctrination

Further information can be found on our organization’s website at www.azpe.org. In addition, please
feel free to call us with any questions.


Professionally yours,

Professional Educators of Sierra Vista Brenda Kramer 520-515-2960
Arizona Professional Educators 480-503-2737       888-834-5182

								
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