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MEMBERSHIP FORM: I hereby apply for membership in the United Domestic Workers Union (“UDW”) and I agree to abide by its Constitution and Bylaws. By this application, I authorize UDW or its successors (“Union”) to act as my exclusive bargaining representative for purposes of collective bargaining with respect to wages, hours, and other terms and conditions of employment with my employer. Contributions or gifts to the Union are not tax deductible as charitable contributions. However, they may be tax deductible as ordinary and necessary business expenses.

AUTHORIZATION: I hereby authorize the Office of the State Controller of California to deduct from my earnings and pay over to the Union those dues and fees that may now or hereafter be established by the Union. This authorization is irrevocable, irrespective of my membership status, for a period of one year from the date of execution. This authorization shall be automatically renewed for successive periods of one year, unless I give the Union written notice of revocation signed by me not less than ten (10) days and not more than twenty (20) days before the end of any yearly period. I recognize that my authorization of dues deductions, and the continuation of such authorization from one year to the next, is voluntary and not a condition of my employment.

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Signed by UDW UDW
Signed On: April 24, 2018

Signature Certificate
Document name: Join UDW
lock iconUnique Document ID: dfd5f7ac65eef7ecb5c0a478058bcc243aad7fea
Timestamp Audit
October 17, 2017 9:03 am PSTJoin UDW Uploaded by UDW UDW - IP