Membership Application GSAF Local 100

Membership Application

I, the undersigned, make application for admission to membership in the Office and Professional Employees International Union, AFL-CIO, GSAF Local 100 to serve as my chosen and authorized collective bargaining representative on matters relating to wages, benefits, hours and other working conditions of employment.
Date *

Month Day Year
Full Name *

First Name Last Name
Personal E-mail *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Home Phone Number
Mobile Phone Number
Department / Division
Employer *
Employee ID#
Job Classification *
Recruited By *
I authorize and direct my employer to deduct from my wages each pay period the current Government Supervisor Association dues and transmit this amount to the Treasurer of the Association. Contributions or gifts to GSAF / OPEIU Local 100 / AFL-CIO are not tax deductible as charitable donations.
Signature *

Clear
Organizing Committee

Yes, I'd like to be part of the union organizing committee Yes, I'd like to receive text messages
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