Killeen Federation of Teachers Membership Application

PO Box 10277, Killeen, TX, 76547; P:(254)702-2536; E:Jonesphy@yahoo.com

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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

Work Phone

Preferred Phones

preferred

Personal E-mail *

Work E-mail

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ID Number

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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 Killeen Federation of Teachers to draft my bank account for the amount equal to my union dues. The monthly dues amount may change if required by local, state or national constitutions. I authorize my bank to adjust my monthly payment when notified by the named entity listed above. 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.

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$0.00