United Academics of the University of New Mexico Membership Card

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First Name *

Middle Name

Last Name *

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Mailing Country *

Mailing Address *

Mailing City *

Mailing State *

Mailing Zip Code *

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Mobile Phone

Preferred Phones

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Personal E-mail *

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College

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Department

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Job Title

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UNM Banner ID (i.e. 1000xxxxx)

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UNM email

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Select your membership category

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Authorize

I agree to be a member of United Academics of the University of New Mexico, authorize United Academics of the University of New Mexico to represent me to the fullest extent of the law, and accept the terms of the agreement below. I authorize UA-UNM to act as my exclusive representative in collective bargaining over wages, hours, and other terms and conditions of employment with my Employer. As a member I will be eligible to vote on our constitution, bylaws, and dues rate; to ratify collective bargaining agreements; to run for office; and to vote in officer elections. My membership in UA-UNM will be continuous unless I notify UA-UNM or the UNM Payroll Office in writing that I intend to resign. I understand that UA-UNM and its affiliates may use automatic calling technologies and/or text message me on my cell phone on a periodic basis and that I can unsubscribe from these messages alerts; however, carrier message and data rates may apply to such texts.

By providing the information on this form, I authorize United Academics of the University of New Mexico - Local 06662 and the American Federation of Teachers (AFT) to deduct dues for membership per the above information and in accordance with the United Academics of the University of New Mexico - Local 06662 constitution, the state constitution and the AFT constitution. Dues payments are not deductible as charitable contributions for federal income tax purposes, but a portion thereof may be deductible as a miscellaneous itemized deduction. The dues amount may change if authorized according to the requirements of the local, state or national constitutions. If this happens, I authorize my bank or credit card to adjust my payment when notified by United Academics of the University of New Mexico - Local 06662. I agree this authorization remains in effect until terminated in writing by me or until United Academics of the University of New Mexico - Local 06662 is given written notification of my separation from my employer and/or the bargaining unit. I understand that signing this card is not a condition of my employment. The invalidity or unenforceability of any particular provision hereof shall not affect the other provisions, and this Agreement shall be construed in all respects as if such invalid or unenforceable provision were omitted.

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