Authorization for Representation under the National Labor Relations Act:
I, the under signed employee of Pratt & Whitney, Authorize Local 61, affiliated with the International Brotherhood of Teamsters, to represent me in negotiations for better wages, hours and working conditions.
Name
*
First Name
Middle Initial
Last Name
Cell Phone
*
Format: (000) 000-0000.
E-mail
*
example@example.com
SMS Notice: By providing your phone number and clicking 'Submit,' you agree to receive SMS updates from Teamsters Local Union 61. Message frequency may vary. Standard Message and Data Rates may apply. Reply STOP to opt out. Reply HELP for help. Your mobile information will not be sold or shared with third parties for promotional or marketing purposes. I understand that by providing my contact information a Teamsters Organizer will contact me via phone, text or email as the campaign develops. This communication is important to answer any questions I may have, to get me information about the Teamsters Union, my legal rights and the election process.
YES
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please select your job classification:
*
Please Select
Calibration
Cat Arc
Ceramic Coat
Finish End
Grind
Hole Drill
Lead Tech
Machine Operator
Materials
Material Handler
Metallic Coat
MTS Tech
MRB
NDT
Operator
Quality
Tool Room
Other
Please select your shift:
*
Please Select
1st
2nd
3rd
AWW-1
AWW-2
Other
What is the best time of day to contact you?
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8am-11am
12pm-3pm
3pm-6pm
6pm-9pm
Other
Signature
*
(I understand this is a legal representation of my signature)
Date
*
-
Month
-
Day
Year
I understand this form is confidential and will not be shared with my employer, Pratt & Whitney.
*
YES
Submit
Should be Empty: