Del Rio AFT Membership Application

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First Name *

Middle Name

Last Name *

billing-address

Billing Country *

Billing Address *

Billing Suite

Billing City *

Billing State *

Billing Zip Code *

also mailing address

Mailing Country *

Mailing Address

Mailing Suite

Mailing City

Mailing State

Mailing Zip Code

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Home Phone

Mobile Phone

Preferred Phones

preferred

Personal E-mail *

Work E-mail

Work Location

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Last 4 of SSN

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Job Title

membership-payment

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Select your membership category

Dues Amount

$0.00

Total * draft

Payment Methods

bank draft

account type

Bank Account Types

checking

saving

Bank Name

Routing Number

Account Number

privacy-policy

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Authorize

ELECTRONIC DUES PAYMENT

I authorize the Del Rio AFT to draft my bank account for the amount equal to my union dues. The dues amount may change if required by local, state or national constitutions. I authorize my bank to adjust my payment when notified by the Del Rio AFT. This authorization remains in effect until terminated in writing by me. These deductions will continue for this school year and future years, including any increases in dues, until terminated by me in writing. Employment defense: To be considered for legal services for job protection, membership is required for at least 30 days before the member knew, or should have known, of the events leading up to the job action complained about. Pre-existing conditions will not be covered for legal services.

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$0.00