Membership Application

Name:
Street Address:
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Work Location:
Name again to serve as signature: 
 

I hereby request and accept membership in the National Pharmacists Association, affiliated with the United Steel, Paper and Forestry, Rubber, Manufacturing, Energy, Allied Industrial and Service Workers International Union. ("NPHA-USW Local 1969" and authorize NPHA-USE Local 1969 to act as my exclusive bargaining representative in all matters pertaining to my employment with the employer.

As a member of NPhA-USW Local 1969 as of the execution of the current collective bargaining agreement or as an individual who now requests and accepts membership in NPHA-USW Local 1969, I agree that I shall remain a member in good standing as a condition of the employment for the duration of the Agreement. As used herein, "member in good standing" shall mean only that the employee shall pay those sums uniformly required as a condition of membership in NPHA/USW.

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