SEIU Local 503 Membership Application

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Membership Application

Employer

First Name

Last Name

Birth Date (mm/dd/yyyy)

Preferred Language

Home Street

Please enter your physical street address here, not a P.O. box.

Home City

State

ZIP Code

Home Email

Please use your personal email if you have one, since some employers limit union communication via work email. If you don't have a personal email, work email is fine. If you don't have an email address, call us at 1.844.503.7348 to sign up over the phone.

Mobile Phone†

† By providing my phone number, I understand that the Service Employees International Union (SEIU), its local unions, 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. Reply STOP to stop receiving messages; reply HELP for more information.

OPT OUT OF RECEIVING MOBILE ALERTS†

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