TWU Local 525

Transport Workers Union of America, Local 525
Air Transport Division
2395 North Courtenay Parkway, Suite 104
Merritt Island, Fl 32953

Application for Membership - Citrus Connection Employees Only

First Name *

Last Name *

Employer *

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Referred by

Authorization

To the officers and Members of the Transport Workers Union of America, Local 525: I herewith tender my application for membership in the Union, and pay the Initiation fee of $35.00 (if applicable). If accepted I will abide by the Constitution and Laws of the Organization and pay all dues and other obligations promptly. The Undersigned desires to be represented by the Transport Workers Union of America for purposes of the Public Employees Relations Commission (PERC).

Date *

Assignment & Authorization For Check-Off Of Union Dues

Company Name *

I, [enter full name here]: *

As a member of the Transportation Workers Union (TWU) Local 525, authorize Citrus Connection to deduct from any wages due me for the first pay period of each calendar month, the sum designated and in accordance with the current Collective Bargaining Agreement (CBA) for me and in my behalf, as my monthly dues to the TWU. The Citrus Connection payroll deduction authorization shall remain in effect until withdrawn by me, by notice in writing to the company or otherwise by law.

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