a. Apply for membership with IAFF Local 1159 and agree to abide by its Constitution and By-Laws.
b. Hereby tender $100 as payment of initiation fee. If coming from another IAFF Local there will be no initiation fee.
c. 1 month per capita in advance will be $102.96.
d. Authorize IAFF Local 1159 to be my exclusive bargaining agent for collective bargaining for wages, hours and other coinditions of employment.
e. Authorize monthly payroll deductions for Union Dues in the amount of $102.96.
Note: This document will be retained in IAFF Local 1159 files.