NJ Judiciary - OPEIU Local 32 Membership Application

APPLICATION FOR MEMBERSHIP

Local 32, Office and Professional Employees International Union (Affiliated With the A.F.L.-C.I.O)
Desiring to become a member of Local 32 chartered by the Office and Professional Employees International Union, affiliated with the A.F.L.-C.I.O., I hereby make application for admission to membership and authorize Local 32 to be my exclusive collective bargaining representative.

"I pledge my honor to faithfully comply with the Constitutions, Laws, and all amendments thereof, of Office and Professional Employees International Union, Local No. 32 and of the International Union. I further promise not to divulge or make public any of the private proceedings of this Union."
Name*

First NameMiddle NameLast Name
Email*
example@example.com
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone Number*
Job Title*
County/Vicinage*
Employer Name
Union Name
N.J. AFL-CIO Judiciary Council of Affiliated Unions
Local 32, O.P.E.I.U., AFL-CIO
3350 Highway 138, Bldg 2, Ste 125
Wall, New Jersey 07719
Beneficiary Information
Beneficiary Name*
Relation To Member*
Beneficiary Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Beneficiary Phone Number*
Signature*

Clear
I HEREBY AUTHORIZE THE STATE OF NEW JERSEY TO DEDUCT FROM WAGES DUE, THE ONE-TIME INITIATION FEE OF $40 AND TO MAKE BI-WEEKLY DEDUCTIONS FROM MY SALARY IN THE AMOUNT OF $____________, (OR FOR SUCH OTHER AMOUNTS AS MAY BE AUTHORIZED BY AMENDMENT TO THE DUES SCHEDULE OF THE ORGANIZATION) FOR DUES PAYABLE TO THE TREASURER OF THE EMPLOYEE ORGANIZATION DESIGNATED BELOW. I UNDERSTAND THAT THIS AUTHORIZATION SHALL REMAIN IN EFFECT UNLESS CANCELLED BY ME IN WRITING AND THAT SUCH CANCELLATION SHALL BECOME EFFECTIVE THE FIRST PAY DAY FOLLOWING JULY 1, IN ACCORDANCE WITH MY CURRENT NEGOTIATED CONTRACT.
Date*

MonthDayYear
Date
Should be Empty:

APPLICATION FOR MEMBERSHIP

Beneficiary Information