Certificates of Appreciation

To: Local Presidents
From: Sue McBride
Re: Certificates of Appreciation

The Bergen County Education Association has Certificates of Appreciation available for those members retiring from your district. We would like to honor our well-deserving retirees and ask that you fill in the form below and return it to the BCEA office as soon as possible. Please indicate where the certificates are to be mailed. If you wish the certificates to be mailed directly to the individual, it is imperative that home addresses be provided. Please be sure to indicate whether the retirees are professional staff members or educational support professional members. Thank you for helping BCEA give recognition to our retiring members.

THE DEADLINE FOR CERTIFICATE ORDERS IS JUNE 5
Use multiple submissions if necessary.


Your Name:
Your Email Address:
Your Phone Number:

 

1. Name of Retiree: Prof:   Support:  
Home Address:
2. Name of Retiree: Prof:   Support:  
Home Address:
3. Name of Retiree: Prof:   Support:  
Home Address:
4. Name of Retiree: Prof:   Support:  
Home Address:
5. Name of Retiree: Prof:   Support:  
Home Address:
6. Name of Retiree: Prof:   Support:  
Home Address:
7. Name of Retiree: Prof:   Support:  
Home Address:
8. Name of Retiree: Prof:   Support:  
Home Address:
9. Name of Retiree: Prof:   Support:  
Home Address:

Choose One:

Date certificates are needed:
Local President's Name:
Association:

Mailing Address:

Name:
Address:
Address 2:
City:
State:
Zip:
Telephone:

Date: