Membership Card

Yes! I want a strong voice at work and in my community.

Your Information *

First name *

Last name *

Address 1 *

Address 2

City *

State *

ZIP code *

Personal Email *

Cell Phone † † By providing your cell phone number you consent to receive calls (including recorded or autodialed calls, or texts) at the number from AFSCME and its affiliated labor, political and charitable organizations on any subject matter. Your carrier’s rates may apply. You may modify your preferences by calling the Union at 832-962-4506.

Employer *

EID# * Please enter a 6-digit EID#. Do not include preceding zeros. (ex. 00123456 should be entered as 123456)

Department

Worksite

Job Classification

Job Title

Authorization

I hereby apply for membership in HOPE Local 123 (hereafter “HOPE” or the “Union”) and I agree to abide by its Constitution and Bylaws. I authorize the Union and its successor or assign to act as my exclusive bargaining representative for purposes of collective bargaining with respect to wages, hours and other terms and conditions of employment with my Employer. 

Effective immediately, I hereby voluntarily authorize and direct my Employer to deduct from my pay each pay period, regardless of whether I am or remain a member of HOPE, the amount of dues certified by the Union, and as they may be adjusted periodically by the Union, and to authorize my Employer to remit such amount monthly to the Union. 

This voluntary authorization and assignment shall be irrevocable, regardless of whether I am or remain a member of the Union, for a period of one year from the date of execution, and for year to year thereafter unless I give the Employer and HOPE written notice of revocation not less than ten (10) days and not more than twenty (20) days before the end of any yearly period. This card supersedes any prior check-off authorization card I signed. 

I recognize that my authorization of dues deductions, and the continuation of such authorization from one year to the next, is voluntary and not a condition of my employment.

Payments to the Union are not deductible as charitable donations for federal income tax purposes. However, state law may extend favored tax treatment.

Signature

Effective Date *

Month

Day

Year

Yes, sign me up to:

Talk to colleagues at work

Make phone calls to AFSCME members for campaigns

Knock on AFSCME members’ doors during campaigns

HOPE AFSCME Local 123

Membership Card

Yes! I want a strong voice at work and in my community.

2506 Sutherland St.Houston, TX 77023

2506 Sutherland St.
Houston, TX 77023