Authorization Card GSAF Local 100

Authorization for Representation

I believe when we join together we can have a voice in making our workplace better for everyone. By completing the form below and clicking "submit," I am authorizing GSAF Local 100 to represent me for the purpose of collective bargaining with my employer. My right to submit this authorization is protected by Federal law.
Date *

- Month - Day Year
Full Name *

First Name Last Name
E-mail *

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Department / Division
Employee ID#
Home Phone Number

- Area Code Phone Number
Mobile Phone Number

- Area Code Phone Number
Job Classification *
Employer *
Authorization *
Organizing Committee

Yes, I'd like to be part of the union organizing committee
Should be Empty: