Instructions for completing the enrollment form:

Print out the MB Membership Form. Complete all personal information. Complete the Optional Information if you wish.

For Membership Category, mark category 1 if you are a full-time employee (you work more than 60%)

Less than full-time: 51-60% = Category 2B
34-50% = Category 2A
26-33% = Category 3B
Less than 26% = Category 3A

Payment amounts (full-time) for dues will be written in the amount column.
If you wish to donate to the NEA-Fund (see description at bottom of form), write in an amount in the appropriate box. If not, leave blank. Add up the column for the Annual Total.

A $20 voluntary contribution to CTA advocacy efforts and the CTA Foundation for Teaching & Learning is included in the CTA dues amount. Click here if you would like to change that amount.

Divide by 10 to get the Monthly Deduction amount. This amount will be deducted from your check instead of the agency fee amount, beginning the month you join.

For Pay Method, mark either Cash or Payroll, depending on which you prefer. If you wish to pay cash, please include a check for the annual dues with your enrollment form.

Be sure to sign and date your form at the bottom, and send it to the SBUT office.

Call the office if you have any questions: 310-921-2500.

A $3/mo. fee for SBUT- Political Action Committee is automatically included in the local dues amounts. However,if you so desire, you may opt-out or change your contribution level by filling out the form below. The SBUT Political Action Committee donates to local school board races and bond measures.

Name: ______________________________________ Site: _________________________

Signature: ____________________________________ Date: _________________________


IF YOU WANT TO CHANGE YOUR $3 MONTHLY CONTRIBUTION, CIRCLE AN OPTION BELOW:

(a) I would like to opt-out of any contributions to SBUT-PAC.

(b) I would like to decrease my contribution to ______ per month.

(c) I would like to increase my contribution to _______ per month.