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Texas AFT AMP Membership Form (Pre K-12)
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Call us at 1-800-252-9350 for questions
personal-information-1
Last 4 Social Security Number
First Name
*
Middle Name
Last Name
*
billing-address
Billing Country
*
United States of America
Billing Address
*
Billing City
*
Billing State
*
- Select -
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
Washington
West Virginia
Wisconsin
Wyoming
Billing Zip Code
*
also mailing address
Mailing Country
*
United States of America
Mailing Address
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
Washington
West Virginia
Wisconsin
Wyoming
Mailing Zip Code
personal-information-2
Date of Birth
Date
E.g., 2021-01-24
Home Phone
Mobile Phone
Preferred Phones
preferred
preferred
Personal E-mail
*
Employer
Campus Name
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If you do not see your District (ISD) listed, please contact us at 1-800-252-9350. If you do not see your campus name listed, enter the name of your campus below.
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Campus Name if not listed
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Job Title
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Ex. Teacher, Nurse, Custodial.
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Position
*
Certified
Non-Certified
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Previous District (if any)
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If your district is not shown below, select General AMP New/Current Member as it applies to you
membership-payment
membership-wrapper
Select your membership category
Select your membership category
Brownsville ISD Certified - Brownsville OC
Brownsville ISD Non-Certified - Brownsville OC
Cedar Hill
China Spring-La Vega-McGregor-Midway ISD
Desoto ISD Certified - SW Dallas OC
Desoto ISD Non-Certified - SW Dallas OC
Duncanville ISD Certified - SW Dallas OC
Duncanville ISD Non-Certifiied - SW Dallas OC
General AMP Current Member
General AMP New Member
Lancaster ISD Certified - SW Dallas OC
Lancaster ISD Non-Certified - SW Dallas OC
Spring ISD Certified- Spring OC
Spring ISD Non-Certified- Spring OC
Dues Amount
$0.00
Total
* draft
AFT COPE Amount
By donating to AFT COPE, we’re able to fight for your pension, good legislation, and elected officials who support you and your professions. Donating to AFT COPE is the most effective way for your voice to be heard.
COPE Amount Values
$0
$5
$10
$15
other
Other Amount
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
-Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Year
-Year
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
Card Security Code
Where Is My CVV Number?
For most cards the Card Security code is printed on the signature strip on the back of the credit card. The value will be the last 3-4 digits of the printed number.
account type
Bank Account Types
checking
saving
Bank Name
Routing Number
Account Number
privacy-policy
legal-wrapper
Authorize
I authorize Texas AFT to deduct monthly dues for membership in accordance with Texas AFT constitution, and the AFT constitution.
I authorize Texas AFT to draft my bank account for the amount and dates listed on my membership application. The monthly dues amount may change if required by local, state, national constitutions. I authorize my bank to adjust my monthly payment when notified by the Texas AFT Associate Member Program. This authorization remains in effect until terminated in writing by me. These deductions will continue for this school year and future school years, including any increases in dues, until terminated by me in writing.
Authorize COPE
I hereby authorize a monthly contribution to the Texas AFT Political Action Committee Texas (AFT COPE) in the amount indicated above.
COPE DISCLOSURE LANGUAGE - 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 Texas AFT COPE II. Texas AFT COPE II may engage in joint fundraising efforts with the AFT and AFL-CIO. A voluntary COPE authorization may be revoked at any time by notifying Texas AFT in writing of the desire to do so. Texas law prohibits Texas AFT from contributing general dues dollars to political campaigns. Contribution or gifts made to Texas AFT COPE II are not deductible as charitable contributions for federal income tax purposes. Contributions cannot be reimbursed or paid by any other person or entity.
Print your name
Date
Date
E.g., 2021-01-24
Signature field is required
Leave this field blank