Skip to main content
Texas AFT At-Large Membership Form
Back to Dashboard
We're sorry but our site requires JavaScript enabled in your browser.
912 Highway 183 South, Suite 100-A, Austin, TX, 78741; P(800)222-3827; F(512)448-0678; Email: info@texasaft.org
personal-information-1
First Name
*
Middle Name
Last Name
*
billing-address
Billing Country
*
United States of America
Billing Address
*
Billing Suite
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
US Virgin Island
Washington
West Virginia
Wisconsin
Wyoming
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
Home Phone
Mobile Phone
Work Phone
Preferred Phones
preferred
preferred
preferred
Personal E-mail
*
Work E-mail
Work Location
membership-payment
membership-wrapper
Select your membership category
Select your membership category
At-Large, $15.10/mo (earnings under $14k/yr)
At-Large, $35.40/mo (earnings over $14k/yr)
Dues Amount
$0.00
Total
* draft
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
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
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
ELECTRONIC DUES PAYMENT
I authorize the above named entity 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.
Print your name
Date
Date
E.g., 2024-11-21
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Math question
*
9 + 5 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
Leave this field blank