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Northeast Houston AFT
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5310 E. Sam Houston Pkwy N., Suite M, Houston, TX, 77015; T: 281/864-5491; F: 281/864-5457; www.nehouaft.org
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First Name
*
Middle Name
Last Name
*
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Billing Country
*
United States of America
Billing Address
*
Billing Suite
Billing City
*
Billing State
*
- Select -
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Alaska
Arizona
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District of Columbia
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US Virgin Island
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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
Date of Birth
Date
E.g., 2024-10-11
Mobile Phone
Work Phone
Preferred Phones
preferred
preferred
Personal E-mail
*
Work E-mail
Employer
Worksite Location
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Last 4 of SSN
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Job Title
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Prep Time
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School District
*
School District
Channelview ISD
Galena Park ISD
Sheldon ISD
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Referred by?
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Would you like for an Organizer to reach out about opportunities to get involved?
Yes
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Select your membership category
Select your membership category
CVISD $24.10/mo (Salary is below $14K)
CVISD $33.00/mo (Salary is $14K - $25K)
CVISD $56.00/mo (Salary is over $25K)
GPISD $24.10/mo (Salary is below $14K)
GPISD $33.00/mo (Salary is $14K - $25K)
GPISD $56.00/mo (Salary is over$25K)
SISD $24.10/mo (Salary is below $14K)
SISD $33.00/mo (Salary is $14K - $25K)
SISD $56.00/mo (Salary is over $25K)
Dues Amount
$0.00
Total
* draft
NE Houston AFT COPE Amount
By donating to NE Houston AFT COPE, we’re able to fight for your pension, good legislation, and elected officials who support you and your professions. Donating to NE Houston AFT COPE is the most effective way for your voice to be heard.
COPE Amount Values
$0
$2
$4
$5
$1
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 1
Electronic Dues Payment
I authorize Northeast Houston AFT to draft my bank account for the monthly amount listed on this application in two semi-monthly payments. 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 AFT. 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.
Authorize 2
Northeast Houston AFT COPE
This authorization is signed freely and voluntarily and not out of any fear of reprisal, and I will not be favored or disadvantaged because I exercise this right. I understand this money will be used to make political contributions by NE HOUSTON AFT COPE. NE HOUSTON AFT COPE may engage in joint fundraising efforts with the TEXAS AFT, AFT and AFL-CIO. A voluntary COPE authorization may be revoked at any time by notifying NE HOUSTON AFT in writing of the desire to do so. Texas law prohibits NE HOUSTON AFT from contributing general dues dollars to political campaigns. Contribution or gifts made to NE HOUSTON AFT COPE are not deductible as charitable contributions for federal income tax purposes. Contributions cannot be reimbursed or paid by any other person or entity.
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Date
Date
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