Reduced Fee Request Form

Reduced Service Fee Request Form:  2011-2012 Valid thru June 30, 2012

Name

 

Address

City/State/Zip

 

Phone (home)

Signature

 

Date

Status

Circle one

Full time – $70.48
Part time – $16.76

 

Note:  The reduced fee is available to non-members only.  CCFF members pay the full dues, part of which pays for the AFT member benefit programs, including occupational liability protection and accidental death & dismemberment insurance.

Please return form to

Cerritos College Faculty Federation
CB 112
Cerritos College
11110 Alondra Blvd.
Norwalk, CA 90650