ON-LINE 

SIGN UP CARD

Simply fill out the card, making sure to sign and date it.

Print and clip below the dotted line. Then send to:

OPEIU Local 512

P.O. Box 80475

Lansing, Mi.

48908

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

OFFICE AND PROFESSIONAL EMPLOYEES INTERNATIONAL UNION

LOCAL 512- APPLICATION FOR MEMBERSHIP

Desiring to become a member of OPEIU Local 512, I hereby make application for admission to membership and authorize OPEIU Local 512 to be exclusive collective bargaining representative.

Name (print)________________________________________________________

SS#_________________________________________________________________

Address______________________________________________________________

City_____________________________ State__________Zip____________________

Phone______________________________ E-mail (home)_____________________

Employer___________________________  Classification____________________

Signature_____________________________________ Date_____________________

Dues or contributions to the OPEIU are not deductible as charitable contributions for federal income tax purposes.  Dues paid, however, may qualify as business expense and may be deductible in limited circumstances subject to various restrictions imposed by the Internal Revenue Code.