IAMAW MEMBERSHIP APPLICATION and DUES CHECKOFF AUTHORIZATION

International Association of Machinists and Aerospace Workers (IAMAW) MEMBERSHIP APPLICATION and DUES CHECKOFF AUTHORIZATION

(Dues Checkoff Authorization means you authorize the company you work for to deduct your Union dues from your paycheck).
Full Name (First then Last)*
Gender*
You are only asked this as to be notified of certain Labor Programs and Classes designed specifically for certain genders.
Last 4 digits of your SSN*
Your SSN is used to determine seniority if more than one individual is hired on the same date.
Employer You Work For:*
Represented position with Lockheed Martin
Represented position with GLSS
Represented position with CAE (Maintenance Contract)
Represented position with CAE (Instructor Contract)
Represented position with DRG
Represented position with Nova Technologies (Maintenance Contract)
Represented position with Nova Technologies (Student Admin Contract)
Hire Date*

MonthDayYear
Date
(Mailing) Address*
City*
State/Province*
Your two letter state abbreviation will do. (e.g. AR)
Zip/Postal code*
Date of birth*

MonthDayYear
Date
Personal Email (not company or military email)*
Your email address will be provided to the Local Lodge Communicator to receive email communications from the IAM unless you check the box below:
Email Opt-Out

check here if you decline to receive emails from IAM
Cell Phone
You will receive important text message notifications from your Local Lodge. If you do not wish to receive these, you can opt-out by replying STOP to the first text or any text thereafter you receive.
Hourly wage*
Please list your current hourly wage rate. If you are not certain, please check your contract or employment letter. Enter as two numbers, decimal point, two decimals : 55.55 No need to use a $ sign.
Acknowledgement (Please check box below)*

I hereby tender my application for membership in the International Association of Machinists and Aerospace Workers (IAM). I understand that while I may be required to tender monthly fees to the Union, I am not required to apply for membership or be a member as a condition of employment and that this application for membership is voluntary. As a member, I agree to obey the Constitution of the IAM and the bylaws of my Lodge and to support the principles of trade unionism, and I authorize the IAM and/or its designated affiliate to act as my representative for collective bargaining.
Dues or Fees Checkoff Authorization (Please check box below)*

I knowingly and voluntarily consent to and authorize my Employer to deduct from my wages and forward to the Union: (1) monthly membership dues or an equivalent service fee; and (2) any required initiation or reinstatement fee as set forth in the collective bargaining agreement between the Employer and the Union and the bylaws of the Lodge. I give this consent regardless of whether I am required to pay dues or fees ascondition of my employment under the law. This authorization shall be irrevocable for one (1) year or until the termination of the collective bargaining a agreement between my Employer and the Union, whichever occurs sooner. I agree that this authorization shall be automatically renewed for successive one (1) year periods or until the termination of the collective bargaining agreement, whichever is the lesser, unless I revoke it by giving written notice to my Employer and Union (a) not more than twenty (20) and not less than five (5) days prior to the expiration of the appropriate yearly period or (b) after the contract expiration. I expressly thatthis authorization is independent of, and not a quid pro quo, for union membership, but recognizes the value of the services provided to me by the Union. agree Itshall continue in full force and effect even if I resign my Union membership, except if properly revoked in the manner prescribed above.
Local Lodge Number
This is preselected for you. You will become a Member of Local Lodge 463.
Shirt Size*
New Members of Local Lodge 463 are provided with a Union Shirt sporting the embroidered logo of the IAM. Please select your size.
Initiation Fee*
There is a $25 Initiation Fee to Join or be Reinstated to the IAM. This fee needs to be paid to your Lodge Secretary, Treasurer, or a Steward. Please select how you will pay.
Who did you pay your initiation fee to?*
Please type the name of the Steward or Union Officer you paid your $25 Initiation Fee to. This is for internal tracking purposes to insure the Lodge Treasurer receives the funds.
Date You Paid Your Initiation Fee

MonthDayYear
If different than TODAY (the day you are completing this form), please select the date you paid your Initiation Fee to the individual listed above.
Important Notice. I have examined and acknowledge receipt of the attached "Notice to Employees Subject to Union Security Clauses" (on back of pink sheetI alsounderstandthat IAM members have certain rights and privileges as set forth in the IAM Constitution and in various Federal laws, like the Labor Management ReportingandDisclosure Act (LMRDA Copies of the IAM Constitution and the LMRDA may be obtained by contacting the IAM General Secretary-Treasurer, 9000 Machinists Place, Upper Marlboro, MD 20772. Union membership dues and agency fees are not deductible as charitable contributions for Federal income tax purposes. Dues and agency fees, however, may be deductible in limited circumstances subject to various restrictions imposed by the Internal Revenue Code.
(Your signature)*

Clear
Use your mouse (on a computer) or your finger (on an iPad/Phone/Tablet) to sign.
(Date of Signature and Application Submittal)*

MonthDayYear
Today's Date (No need to change this).
You will have the opportunity to DOWNLOAD & SAVE or email a copy of your application to yourself after you have submitted.
Should be Empty:

International Association of Machinists and Aerospace Workers (IAMAW) MEMBERSHIP APPLICATION and DUES CHECKOFF AUTHORIZATION