Become a Member of Workers United

Dues Information

$12/mo Dues ($12) $6/mo Assoc. Dues ($6)

Make this contribution: Frequency (Optional) Monthly

Contact Information

First Name Last Name

Street Address

Postal Code City State

Personal Email Mobile Phone (Optional)

By providing my phone number, I understand that SEIU and its locals and affiliates may use automated calling technologies and/or text message me on my cellular phone on a periodic basis. SEIU will never charge for text message alerts. Carrier message and data rates may apply to such alerts. Text STOP to 787753 to stop receiving messages. Text HELP to 787753 for more information.

(Optional)

Payment Information

Pay with Card

Pay with Bank Account

Card Number

Expiration Date

Account Type Routing Number What's This? Account Number What's This? Confirm Account Number I authorize the use of my bank account as a payment method and authorize this organization to debit my bank account via the Automated Clearing House system to fulfill my donation commitment. This authority will remain in effect until revoked in writing by the account holder.

Additional Information

University

Duke University

Department

What Degree?

Year of Entry

Expected Year of Matriculation

Summer Funding
Summer Funding is required.

I have summer funding - dues will be deducted 12 months/year.

I do not have summer funding - dues will be deducted Oct-June.

I am a Duke Alumni or Friend

Yes No

What issue(s) are most important to you? (Optional)
What issue(s) are most important to you? is required.

Pay

Health and Dental Care

Harassment and Discrimination

Continuation Fees

Other Other (Optional)

Membership Authorization:

I hereby request and voluntarily accept membership in Workers United Southern Region Joint Board and I agree to abide by its Constitution and Bylaws. I authorize Workers United Southern Region Joint Board to act as my representative in collective bargaining over wages, benefits and other terms and conditions of employment with my employer, and as my exclusive representative where authorized by law. I know that membership in the union is voluntary and is not a condition of my employment, and that I can decline to join the union without reprisal.

Yes

Direct Dues Payment Authorization:

I hereby authorize WU Southern Region Joint Board to initiate a recurring, automatic electronic funds transfer with my financial institution in order to pay my union membership dues at the frequency listed below from the account listed below. I understand that my first dues payment will be made today, and will recur every month on the 1^st of each month in the amount of $12/month.

The dues amount may change if authorized according to the requirements of the WU Southern Region Joint Board's Constitution and Bylaws or the Service Employees International Union Constitution and Bylaws. If this happens, I authorize SEIU to initiate a recurring, automatic electronic funds transfer in the amount of the new dues amount when notified by SEIU in writing of the new amount and with at least 10 days' notice before the next funds transfer date. In the case of checking and savings accounts, adjusting entries to correct errors are also authorized. I agree that these withdrawals and adjustments may be made electronically and under the Rules of the National Automated Clearing House Association. This authorization shall remain in effect until I send notice of my revocation of authorization Workers United Southern Region Joint Board via U.S. Mail to: Workers United, Southern Regional Joint Board, 1777 Phoenix Parkway, Suite 230. Atlanta, GA 30349; or e-mail to: WUSouthDues@gmail.com

I acknowledge that failure to pay my dues on a timely basis may affect my membership standing in the Union, as set forth in the WU Southern Region Joint Board Constitution and Bylaws. Contributions or gifts to SEIU are not tax deductible as charitable contributions. However, they may be tax deductible as ordinary and necessary business expenses.

Yes

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