District1199NM
District1199NM
National Union of Hospital and Health Care Employees
 

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National Union of Hospital and Health Care Employees, District 1199NM
AFSCME, AFL-CIO 130 Alvarado NE Suite 100, Albuquerque NM 87108-1602
Application For Membership


First Name: *
Middle Initial:
Last Name:*
Address: *
Apt:
City: *
State: *
Zip: *
Employed At: *
Dept.: *
Title: *
Hourly Salary $: *
Hours Per Week: *
Date Hired: *
Shift: *
Cell Phone: *
Home Phone: *
Personal Email: *

ID #:
Date:
10/23/2021
I hereby accept membership in the National Union of Hospital and Health Care Employees, AFSCME, AFL-CIO, and designate said Union to act for me as collective bargaining agent in all matters pertaining to conditions of employment. I hereby pledge to abide by the Constitution and By-Laws of District 1199NM, the National Union of Hospital and Health Care Employees, AFSCME, AFL-CIO.
Signature: *

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New Mexico Hospital Workers Union
130 Alvarado Drive, NE, Suite 100
Albuquerque, NM 87108
  505.884.7713

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