UUP Membership Application

United Union Professionals Membership Application

Employer(Required)

SEIU 721, WERC, etc.

Name(Required)

First Last

Birthdate(Required)

Home Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Cell Phone*(Required)

Email(Required)

Work Phone

*By providing my phone number, I understand that UUP and its locals and affiliates may use automated calling technologies and/ or text message me on my cellular phone on a periodic basis. UUP will never charge for text message alerts. Carrier message and data rates may apply to such alerts. To unsubscribe, text STOP.

Hire Date(Required)

Department Name(Required)

Job Title(Required)

Work Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

I hereby request and voluntarily accept membership in United Union Professionals (the “Union”) and authorize the Union to act as my representative in collective bargaining over wages, benefits and other terms and conditions of employment with my employer, and as my exclusive representative where authorized by law. I agree to be bound by the Constitution and Bylaws of the Union. My membership will be continuous, unless I resign by providing notice to the Union via U.S. mail (or other method if permitted by the Union’s policies). I know that union membership is voluntary and not a condition of employment, and that I can decline to join without reprisal.

Membership Agreement Confirmation

I agree to the Membership Agreement

Signature*

*I understand this is a legal representation of my signature

I further authorize United Union Professionals (the “Union”) to instruct my employer to deduct from my earnings an amount equal to the Union’s regular dues. Irrespective of my membership in the Union, deductions for this purpose shall remain in effect and be irrevocable unless revoked by me in writing via U.S. Mail (or other method if permitted by the Union’s policies) during the period not less than thirty (30) days and not more than forty-five (45) days before the annual anniversary date of this authorization (the “window period”). This dues deduction authorization will renew automatically from year to year even if I have resigned my membership, unless I revoke it during the window period. It is my responsibility as a member to notify the Union if I believe my deductions are incorrect or if I am no longer in a bargaining unit represented by United Union Professionals. This dues authorization will remain effective if my employment with the Employer ends and I am later re-employed by the Employer.

Dues Deduction Confirmation

I agree to the Dues Deduction Agreement

Signature*

*I understand this is a legal representation of my signature