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Join Local 123. Become a member today.

Social Security Number *

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Terms of Membership *

I hereby request and voluntarily accept membership in Local 123. I authorize Local 123 to act as my exclusive representative in collective bargaining over wages, benefits, and other terms and conditions of employment with my employer.

Dues Checkoff Authorization *

I recognize the need for a strong union and believe everyone represented by our union should pay their fair share to support our union's activities. I hereby request and voluntarily authorize my employer to deduct from my earnings and to pay over to Local 123 an amount equal to the regular monthly dues uniformly applicable to members of Local 123. This authorization shall remain in effect and shall be irrevocable unless I revoke it by sending written notice via U.S. mail to both the employer and Local 123 during the period not less than thirty (30) days and not more than forty-five (45) days before the annual anniversary date of this agreement or the date of termination of the applicable contract between the employer and Local 123, whichever occurs sooner. This authorization shall be automatically renewed as an irrevocable check-off from year to year unless I revoke it in writing during the window period, even if I have resigned my membership in Local 123.

$10 Monthly COPE Authorization

Your contribution will be used to support leaders who stand up for working people and our communities and allows us to support policies which improve workers' healthcare, workload, pay and safety. I hereby authorize my employer to withhold $10.00 per month to forward to Local 123. My signature shows that I agree with the terms below.