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


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