CWA Local 1103 RMC

Chapter/Council Membership Applications

Application for CWA Local 1103 Retired Members Chapter
 

CHAPTER MEMBERSHIP APPLICATION FORM FOR:

CWA LOCAL 1103 RETIRED MEMBERS CHAPTER

(Please print)

CWA Local 1103 RMC
345 Westchester Ave
Port Chester, NY 10573

Jeanette Spoor, President


NAME__________________________________________________________________


STREET________________________________________________________________


CITY/TOWN____________________________________________________________


STATE/ ZIP CODE_______________________________________________________


TELEPHONE HOME (______)_____________________________________________


TELEPHONE CELL (______)_____________________________________________


E-MAIL_________________________________________________________________


RETIREMENT: ________/________/________ NCS: ________/________/________


AT DATE OF RETIREMENT WAS:

MEMBER OF CWA LOCAL __________ EMPLOYER _________________________

PLEASE MAKE YOUR $20 ANNUAL DUES CHECK PAYABLE TO:

CWA LOCAL 1103 RMC
 

Application for CWA Retired Members Council

The CWA Retired Members' Council focuses on the critical issues facing re­tirees. We're part of a growing army of thousands of CWA retirees who are working with our union to protect benefits and programs that are critical to our retirement – retiree health care, pensions, Social Security, Medicare and more.

Here's the link to the Council's web site : http://cwa-union.org/issues/entry/c/rmc

 

Here's the application to join the Council:

 

COUNCIL MEMBERSHIP APPLICATION FORM FOR:

CWA Retired Members’ Council Lifetime Membership

Yes, sign me up for Lifetime Membership in the CWA Retired Members’ Council

I understand that by making a one-time $25 payment to the Council for Lifetime membership, I am eligible to join a local retiree Chapter. I may join any retiree chapter and not just one sponsored by my home local because there is no jurisdiction in the Council.

(Kindly print)

Name __________________________________________________________________


Address ________________________________________________________________


City/State/Zip _ ________________________________________________


Home Phone_____________________ Cell Phone____________________


Email________________________________________________________


Home Local ____________________ Former Employer__________________________


____ Here is my $25 check made payable to the: CWA Retired Members’ Council

Please return form to:

CWA Local 1103 RMC
345 Westchester Ave
Port Chester, NY 10573
 

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