Print an Authorization Card

Interested in joining a Union?

Call us toll free:
1-800-332-9699 ext. 14 When you and your coworkers sign authorization cards, you are expressing your desire to become a member of UFCW Local 1459. It's important to understand that when you sign an authorization card, you are not joining the UFCW. You are only expressing your desire

to join the UFCW. You will not become a member of the UFCW until a) the company decides to recognize the union or b) a majority of the workers vote to join the UFCW in a secret ballot election.


Desiring to enjoy the rights and benefits of collective bargaining, I hereby authorize the United Food & Commercial Workers International Union, AFL-CIO-CLC, or its chartered Local Union(s) to represent me for the purpose of collective bargaining.


 Print Name

 Date

 Signature


 Home Phone

 Home Address

 City, State, Zip


 Employer's Name

 Employer's Address

 Your Hire Date


 Type of Work Performed

 Department

 Hourly Rate
 E-mail address  I work:                  List your days off:
 ( ) Day Shift
 ( ) Night Shift
 ( ) Part-time
 ( ) Full-time		  Would you participate in an
 organizing committee?
 ( ) Yes
 ( ) No

 

Mail this authorization form to UFCW Local 1459 at:

UFCW Local 1459, AFL-CIO
33 Eastland Street
Springfield, Massachusetts 01109