New Member Application

Payroll Deduction

I hereby apply for membership in the Fraternal Order of Police, Pinellas Lodge No. 43, Inc. By submitting this application, I agree to pay dues at the rate established by the Lodge Constitution and By-Laws for members. I also certify that the information provided below is accurate and complete, and I will notify the Lodge of any changes.

Right-to-Work Notice
The State of Florida is a right-to-work state. Union membership or non-membership is not a condition of employment. Joining and paying dues to a labor union is strictly voluntary. Employees have the right to either join and financially support a union or to refrain from doing so. No employee may be discriminated against for their choice regarding union membership.

Personal Information

Mailing Address

Additional Information

Authorization

BY SIGNING THIS DOCUMENT ELECTRONICALLY, I CONSENT TO ENTER INTO THIS AGREEMENT FOR AUTHORIZATION OF DUES DEDUCTION WITH FOP LODGE 43 UNION. I HAVE READ, UNDERSTAND, AND SUBMIT THIS APPLICATION TO BE ADMITTED AS A MEMBER OF THE LOCAL UNION.

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