Fed of Wash Local 3760 Dues Form

Joining the Union

personal-information-1

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 Location

membership-payment

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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

Discover

American Express

Name on Card

Card Number

Card Expiration Date

Month

Year

Card Security Code

account type

Bank Account Types

checking

saving

Bank Name

Routing Number

Account Number

privacy-policy

legal-wrapper

Authorize

I agree to be a member of (insert local), authorize (insert local) to represent me to the fullest extent of the law, and accept the terms of the agreement below.

I authorize (INSERT LOCAL NAME AND NUMBER) and American Federation of Teachers (AFT) to draft my account each month for the amount indicated above. The monthly dues amount include local, state, or national constitutions. If this happens, I authorize my bank to adjust my monthly payment when notified by (INSERT LOCAL NAME AND NUMBER). I agree this authorization remains in effect until terminated in writing by me. I understand that union dues may not be deductible for federal income tax purposes; however, under limited circumstances, dues may qualify as a business expense.

Print your name

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$0.00