AFSCME Local 1542 Membership Card

YES! I want to join our union so we can win respect, better wages and a voice on the job.

First Name

Middle Initial

Last Name

Home Street Address

Apartment, Suite, etc.

City

State

Postal Code

Date of Birth

SSN (last four)

Employer

Worksite

Occupation/Job Title

Department

Employee ID

Date of Hire

Personal Email

Home Phone

Work Phone

Cell Phone †

† By providing my cell phone number I consent to receive calls (including recorded or autodialed calls, or texts) at that number from AFSCME and its affiliated labor, political and charitable organizations on any subject matter. My carrier’s rates may apply. I may modify my preferences by calling the Union at (305) 651-6617 or emailing the Union at info@afscmefl.org.

Authorization

I hereby apply for membership in AFSCME Local 1542 and I agree to abide by its Constitution and Bylaws. By this application, I authorize AFSCME Local 1542 and its successor or assign to act as my exclusive bargaining representative for purposes of collective bargaining with respect to wages, hours and other terms and conditions of employment with my Employer.

Effective immediately, I hereby voluntarily authorize and direct my Employer to deduct from my pay each pay period, regardless of whether I am or remain a member of the Union, the amount of dues certified by AFSCME Local 1542, and as they may be adjusted periodically by the Union. I further authorize my Employer to remit such amount monthly to AFSCME Local 1542. This voluntary authorization and assignment shall be irrevocable, regardless of whether I am or remain a member of the Union, unless I give the Employer and the Union thirty day written notice of revocation. I recognize that my authorization of dues deductions, and the continuation of such authorization from one year to the next, is voluntary and not a condition of my employment.

Payments to the Union are not deductible as charitable donations for federal income tax purposes. However, they may be tax deductible as ordinary and necessary business expenses.

Signature

Sign above