Associated Membership Request Form

I, First Name Last Name become an associate member. I will continue to be a member and will pay a lower monthly dues to keep the Local 1167 death benefit in effect. I understand that to be eligible for the death benefit, I must reamin in good standing.
I would like to become an associate member. I will continue to be a member and will pay a lower monthly dues to keep the Local 1167 death benefit in effect. I understand that to be eligible for the death benefit, I must remain in good standings.
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Members Name

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