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Join WFNHP-Local 5000 now to fight for quality patient care and safe working conditions for all healthcare workers in Wisconsin.
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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
*
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Billing Zip Code
*
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Date of Birth
Date
E.g., 2024-12-03
Home Phone
Mobile Phone
Preferred Phones
preferred
preferred
Personal E-mail
*
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Employer (Work Location)
*
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Job Title (Classification)
*
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Select your membership category
Select your membership category
Total Gross Wages < $20,000/year -- $15/mo.
Total Gross Wages = $20,000-35,000/year -- $25/mo.
Total Gross Wages = $35,000-$52,000/year -- $35/mo
Total Gross Wages = $52,000-$65,000/year -- $45/mo
Total Gross Wages = $65,000-$78,000/year -- $55/mo
Total Gross Wages > $78,000/year -- $60/mo.
Other (Voluntary Monthly Dues) -- $80/mo.
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
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Authorize
I agree to be a member of Wisconsin Federation of Nurses and Health Professionals, Local 5000, AFT, AFL-CIO, authorize Wisconsin Federation of Nurses and Health Professionals, Local 5000, AFT, AFL-CIO to represent me to the fullest extent of the law, and accept the terms of the agreement below.
I authorize Wisconsin Federation of Nurses and Health Professionals, Local 5000, AFT, AFL-CIO and American Federation of Teachers (AFT) to draft my account each month for the amount indicated above. The monthly dues amount include local, state, or national constitutions. If this happens, I authorize my bank to adjust my monthly payment when notified by Wisconsin Federation of Nurses and Health Professionals, Local 5000, AFT, AFL-CIO. 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.
Print your name
Date
Date
E.g., 2024-12-03
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