Name
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Address
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Address Line 1
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Zip / Postal Code
Job Title
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Phone
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Email
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Employer
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Work Location
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Signature
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Please type name here
Date / Time
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I hereby authorize the International Union, Security, Police & Fire Professionals of America, (SPFPA) to represent me for the purposes of collective bargaining with the above Employer and all successors and/or assigns to improve wages, benefits and working conditions.
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By clicking the submit button below, I affirm that I am an employee of the employer named in the contact form and I want to be represented for the purposes of collective bargaining by the International Union, Security, Police and Fire Professionals of America (SPFPA).
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