MSA K-9 SPFPA INTEREST CARD

Name *

Address *

Address Line 1

City

State / Province / Region

Zip / Postal Code

Job Title *

Phone *

Email *

Work Location, City and State *

What Region do you work in (if you know)

Signature

Please Type Name Here

Date / Time

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.

Please Check Box to Authorize

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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