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First Name
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Middle Name
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Mailing Zip Code
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Home Phone
Work Phone
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Personal E-mail
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Work E-mail
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Last 4 of SSN
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Position
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School
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Select your membership category
Select your membership category
Teacher
Classified Employee
Dues Amount
$0.00
Total
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Authorize
I agree to be a member of Hampton Federation of Teachers - PD, authorize Hampton Federation of Teachers - PD to represent me to the fullest extent of the law, and accept the terms of the agreement below.
I hereby apply for membership in the Hampton Federation of Teachers. I authorize Hampton City School District Payroll department to deduct from my pay on a monthly basis. I understand this agreement will be in effect until cancelled by me in written form to the Hampton Federation of Teachers and the Hampton City School District Payroll office. Dues paid to the Hampton Federation of Teachers may not be deductible for federal income tax purposes; however, under limited circumstances, dues may qualify as business expenses.
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Date
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