YES! I want the NYSLWU!

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I hereby authorize the New York State Legislative Workers United (NYSLWU) to act as my collective bargaining representative in all matters pertaining to conditions of employment, including but not limited to wages, hours and working conditions.

I agree that this card may be used either to support a demand for voluntary recognition or a New York State Public Employment Relations Board (PERB) election at the discretion of the union.

First and Last Name *

Pronouns

Address *

Apartment

City *

State *

Zip Code *

Personal Phone Number *

Personal Email *

Legislative Body *

Do you work for a member or division of Central staff? *

Member

Central staff

If member, please list the member. If Central staff, list the name of your office. *

Job Title *

Signature *

Date *

YYYY

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