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La Joya AFT, Local 4632, Membership Application
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1100 E Expwy 83, La Joya, TX 78560; Phone: (956)598-5069; Email: ljft@ljft.org
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First Name
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Middle Name
Last Name
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Billing Country
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United States of America
Billing Address
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Billing Suite
Billing City
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Billing State
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Billing Zip Code
*
also mailing address
Mailing Country
*
United States of America
Mailing Address
Mailing Suite
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
Mailing Zip Code
personal-information-2
Mobile Phone
Preferred Phones
preferred
Personal E-mail
*
Work E-mail
Work Location
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Job Title
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Employee ID Number
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Select your membership category
Select your membership category
$14.08 Bi-Weekly; 26 Pay Periods, 244 days
$14.08 BiWeekly; IAs, Secretaries
$14.64 Bi-Weekly, 25 Pay Periods
$16.64 Bi-Weekly, 22 Pay Periods
$22.62 Bi-Weekly, Professionals
$30.50 Monthly; IAs, Secretaries
$49.00 Monthly, Professionals
Dues Amount
$0.00
Total
* draft
COPE Amount
By donating to COPE, we’re able to fight for your pension, good legislation, and elected officials who support you and your professions. Donating to COPE is the most effective way for your voice to be heard.
COPE Amount Values
$0
$1
$2
$5
other
Other Amount
Payment Methods
bank draft
account type
Bank Account Types
checking
saving
Bank Name
Routing Number
Account Number
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Authorize
Electronic Dues Payments
I authorize La Joya AFT to draft my account each month for the amount indicated above. I authorize my bank to adjust my monthly payment when notified by La Joya AFT. 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.
Authorize COPE
JOIN OUR COMMITTEE ON POLITICAL EDUCATION (COPE)
COPE DISCLOSURE: I hereby authorize a monthly contribution to the La Joya AFT COPE in the amount indicated above. This authorization is signed freely and voluntarily and not out of any fear of reprisal, and I will not be favored nor disadvantaged because I exercise this right. I understand this money will be used to make political contributions. La Joya AFT COPE may engage in joint fundraising efforts with Texas AFT COPE and/or the AFL‐CIO. This voluntary authorization may be revoked at any time by notifying La Joya AFT COPE in writing of the desire to do so. Contribution or gifts to La Joya AFT COPE are not deductible as charitable contributions for federal income tax purposes. Contributions cannot be reimbursed or otherwise paid by any other person or entity.
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