Retiree Chapter Membership Application

I would like to apply for membership in the American Federation of Teachers (AFT), Local 212-MATC Retiree Chapter. I understand that my membership includes services and benefits available to retired members of AFT-National, AFT-Wisconsin, AFT-Local 212, and other Union affiliates. I understand that if accepted into membership, I will abide by the Constitution and Bylaws of the Local and its affiliates.

Name

First Name

Last Name

Personal Email

Phone

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Address

City, State. Zip

Division/ Department

Bargaining Unit

Full-time Faculty/ Counselors

Part-time Faculty

Paraprofessional

Years of Service

Today's Date

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