WASHINGTON FEDERATION OF STATE EMPLOYEES / AFSCME, Council 28 / AFL-CIO

WFSE is the largest union for state, higher education and public service employees
in the state of Washington! We are 40,000 members strong - a powerful voice to
protect jobs, pay, benefits, worker rights, working conditions and public services.
By becoming a union member you create a stronger and united voice to take a
stand for public service employees and the services we provide. By joining together,
we have power in the halls of government and at the contract bargaining table.
WFSE is Washingtons most powerful advocate for public service employees,
working families, and strong communities.
Last 4 of SSN:_________________ Employee ID No.:_________________________ Nickname (if any)_______________________________
NAME: Last______________________________________________________ First:_________________________________________ MI ____
Home Address: _________________________________________________________________________________________________________
City:________________________________________________________________________ State:__________ Zip: ______________________
Mailing Address (if different) ________________________________________________________________________________________________
City:________________________________________________________________________ State:__________ Zip: _______________________
PHONE: Cell:
Sex:

________________________ Home: ________________________ Work: ________________________

Male Female

Birth date:

_________________ Home email:_____________________________________________

Employer: _________________________________ Job Class/Title: ___________________________Work City:__________________

Worksite:_________________________________________ Date Hired into Position: _______________ Shift: ________________
All employees covered by a collective bargaining agreement with union security must, as a condition of employment pay either union dues or a union
representation fee to the WFSE no later than 30 days following the effective date of the bargaining agreement or the beginning of their employment in a
covered bargaining unit position. In accordance with the Washington Federation of State Employees, Council 28, AFSCME, AFL-CIO (WFSE) collective
bargaining agreement with my employer, I hereby choose:

YES! I want to be a union member. I support advocating for quality services and good jobs. I understand that by
becoming a WFSE union member I will make our union stronger to protect jobs, public service employees and
the services we provide!
I authorize and direct my employer to deduct from my pay each pay period, regardless of whether I am or remain a member of the Union, the
amount of dues as set in accordance with the WFSE Constitution and By-Laws (currently 1.5% of my salary each pay period, not to exceed the set
maximum). This authorization shall be irrevocable, regardless of whether I am or remain a member of the Union until terminated by me by written
notification to my employer with a copy to the WFSE in accordance with the collective bargaining agreement.

No I do not want to be a union member. I understand that I am giving up the right to participate in union activities, trainings,
and events. I will be unable to vote to accept (or reject) my union contract or proposed changes in wages and benefits as a
result of negotiations, and to vote in union elections or for union officers. I will not be eligible to participate in unionmanagement meetings regarding my workplace concerns. I will not be eligible for member-only benefits.
I understand that by choosing NOT to become a WFSE union member I still must pay a union representation fee. As a non-member I authorize the deduction from my earnings each
payroll period of the union representation fee in accordance with the collective bargaining agreement and as allowed in RCW 41.80.100.

_____________________________________________________________________________________________________
MEMBER SIGNATURE
DATE
Dues or fees paid to WFSE are not deductible as charitable contributions for federal income tax purposes. Dues or fees paid to the WFSE, however, may qualify as business expenses and may
be deductible in limited circumstances subject to various restrictions imposed by the Internal Revenue Service.

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NON-PROFIT
ORG
US POSTAGE
PAID
OLYMPIA WA
PERMIT NO. 238

BUSINESS REPLY MAIL

FIRST-CLASS MAIL

PERMIT NO 200

OLYMPIA WA

POSTAGE WILL BE PAID BY ADDRESSEE

WASHINGTON FEDERATION OF STATE EMPLOYEES

1212 JEFFERSON ST SE STE 300
OLYMPIA WA 98501-9965

Connect with WFSE: www.wfse.org Twitter.com/wfsec28 Facebook.com/wfsec28 Contactus@wfse.org

Protecting and improving pay, working conditions, worker rights, and member benefits for you is our number one priority.
Over the past years, united we have:







Fought to create 2 new pay step increases (L & M-steps);

Protected cost of living adjustments and early retirement factors in our
pensions through legal action;
Maintained medical premiums and co-pays at affordable levels;
Preserved thousands of jobs during the worst recession in 50 years; and
Continued to build strong communities with living wage jobs.

As WFSE members, we continue to make a difference. By joining together, we have power in the halls of government and at
the contract bargaining table. WFSE is Washingtons most powerful advocate for public service employees, working families,
and strong communities. Getting active in our union democracy is one of the most critical rights you have as a member. Let
us know how you would like to get involved in our union.
I am interested in participating in my Union in the following ways:

Building power with members age 35 and under

(Next Wave). Increasing young member participation and providing

Phone calling union members about events and

current issues.

education and support for unique workplace issues.

Getting co-workers more involved in events and

current issues.

Training as a shop steward to help my co-workers.

Building power through our Conservative Caucus.

Providing a network by which the conservative voice becomes
included.

Building power through our Green Caucus. Connecting

labor and the environment with our activism, education and outreach,
and fostering a healthy, green economy with family-wage jobs.

Taking political action.

Other:__________________________________

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