SEIU 521 Retiree Membership Card

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Contact Information

First Name Middle Initial (Optional) Last Name

Date of Birth

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†By providing my phone number and clicking submit, I understand SEIU Local 521, the Service Employees International Union, 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. Text STOP to 787753 to stop receiving messages.

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Additional Information

Date of Retirement

Options

Option 1 - Annual Dues: $97.80/Monthly Dues: $8.15 Option 2 - Annual Dues: $62.52/Monthly Dues: $5.21

Option 1: Annual dues $97.80 or Monthly dues $8.15
Article VI Section 3 (excerpt from SEIU 521 Bylaws) Retired members may choose to retain full membership by paying the minimum level of full dues of an active, regular member. Any retiree paying full dues shall be eligible for nomination and election to any office of the Local Union for which he/she is eligible, according to his/her region of domicile including the Executive Board Delegate of the Retiree Chapter.

Option 2: Annual dues $62.52 or Monthly dues $5.21
Article VI Section 3 (excerpt from SEIU 521 Bylaws) A member, who has retired in good standing from a jurisdiction represented by SEIU 521 may join the Retiree Chapter of the Local Union. This qualifies the member for voting in any Retiree Chapter or local wide election.

Payment Information

I authorize SEIU Local 521 to deduct dues monthly from my Credit Card or Bank Account. (A link will be sent to your personal email address to make the payment.) SELF PAY annually by Check (Check payable to SEIU Local 521 and send check to PO Box 888826 Los Angeles, CA 90088-8826)

This authorization applies to any changes in the amount of the dues and other fees of SEIU 521 and is to continue until written notice is served by the undersigned to the Union and/or at the age 75 years or older I become a lifetime member having paid dues continuously to the UNION for at least 10 years. My membership will become effective when my first dues are received by the Union. Dues, contributions or gifts to SEIU 521 are not deductible as charitable contributions for income tax purposes. Dues paid, however, may qualify as business expenses, and may be deductible in limited circumstances subject to various restrictions imposed by the Internal Revenue Code.

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