Lodge 92 Labor Services
Lodge 92 Labor Services
 

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FOP LODGE 92 Labor Services
Membership Application
PO BOX 683, Blue Bell, PA 19422


Application

YES! I want to join my fellow employees and become a member of FOP Lodge 92 Labor Services. I request and voluntarily authorize my employer, The Commonwealth of Pennsylvania, to deduct from my earnings and pay an amount equal to Lodge 92’s regular dues. This dues deduction authorization shall remain in effect, regardless of whether I remain a member of the Union, for the duration of a collective bargaining agreement and will renew automatically thereafter as long as my employment continues, unless I revoke it by providing notice, in writing, to Lodge 92 Labor Services via Certified U.S. mail within fifteen days prior to the expiration of any current collective bargaining agreement. I acknowledge that my dues deduction authorization is a contractual agreement between myself, as a bargaining unit employee, and FOP Lodge 92 Labor Services, separate from any statutory provisions. Authorization is not a condition of employment, and I can decline to agree to it without reprisal.

First Name *
Middle Initial
Last Name *
Home Address *
City *
State *
Postal Code *
Email *
Cell Phone *
Home Phone
Last 4 SSN *
Employee Number *
Birth Date *
Hire Date *
Agency *
Job Title *
Work Location
Are you currently a Member of an FOP Lodge? *
Authorize Agreement *
BY SIGNING THIS DOCUMENT ELECTRONICALLY, I CONSENT TO ENTER INTO THIS AGREEMENT FOR AUTHORIZATION OF DUES DEDUCTION WITH THE LOCAL UNION. I HAVE READ, UNDERSTAND, AND SUBMIT THIS APPLICATION TO BE ADMITTED AS A MEMBER OF THE FOP LODGE 92 LABOR SERVICES UNION.
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Tue
General Union Meeting
Aug 06, 2024
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03
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General Union Meeting
Sep 03, 2024
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Lodge 92 Labor Services
PO BOX 683
Blue Bell, PA 19422
  ‪(717) 461-3497‬

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