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Detroit Association of Educational Office Employees Local 4168
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personal-information-1
First Name
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Middle Name
Last Name
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Billing Country
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Canada
United States of America
Billing Address
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Billing City
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Billing State
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US Virgin Island
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British Columbia
Manitoba
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Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
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Yukon
Billing Zip Code
*
also mailing address
Mailing Country
*
Canada
United States of America
Mailing Address
Mailing City
Mailing State
mailing state
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
US Virgin Island
Washington
West Virginia
Wisconsin
Wyoming
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Mailing Zip Code
personal-information-2
Home Phone
Mobile Phone
Preferred Phones
preferred
preferred
Personal E-mail
*
Work Location
custom-field-1
Employee ID
*
membership-payment
membership-wrapper
Select your membership category
Select your membership category
Dues Amount
$0.00
Total
* draft
Payment Methods
bank draft
credit/debit card
account type
Credit Card Types
Visa
Master Card
Name on Card
Card Number
Card Expiration Date
Month
-Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Year
-Year
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
Card Security Code
Where Is My CVV Number?
For most cards the Card Security code is printed on the signature strip on the back of the credit card. The value will be the last 3-4 digits of the printed number.
account type
Bank Account Types
checking
saving
Bank Name
Routing Number
Account Number
privacy-policy
legal-wrapper
Authorize
I authorize the Detroit Association of Educational Office Employees (DAEOE) to deduct monthly dues for membership in accordance with the DAEOE constitution and the AFT constitution.
By providing the information on this form, I authorize the Detroit Association of Educational Office Employees, to deduct bi-weekly dues for membership per the above information and in accordance with the DAEOE constitution and the AFT constitution. Dues payments are not deductible as charitable contributions for federal income tax purposes, but a portion thereof may be deductible as a miscellaneous itemized deduction. The bi-weekly dues amount may change if authorized according to the requirements of the local, state or national constitutions. If this happens, I authorize my bank or credit card to adjust my bi-weekly payment when notified by DAEOE. These deductions shall be made bi-weekly per the above information and continue until DAEOE is given written notification of cancellation or termination of employment with your school district.
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Date
Date
E.g., 2024-09-07
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