Join Us

I will help protect my pension by joining AFSCME Arizona Retiree Chapter 97 today!

First Name

Last Name

Beneficiary Name

First

Last

Street Address

Apartment, Suite, etc.

City

State

ZIP/Postal Code

SS# xxx-xx- (Last 4 Digits Only)

Personal Email

Home Phone

Cell Phone †

† By providing my cell phone number I consent to receive calls (including recorded or autodialed calls, or texts) at that number from AFSCME and its affiliated labor, political and charitable organizations on any subject matter. My carrier’s rates may apply. I may modify my preferences at https://www.afscme.org/tcpa.

Authorization

I hereby join Arizona AFSCME Chapter 97 and designate this chapter as my duly chosen and authorized representative to promote and protect my economic welfare to the extent. authorized by law. I hereby request and authorize the deduction from my monthly ASRS retirement allowance of the amount certified by the Retiree Chapter as the current rate of dues. Current dues are $2.00 per month.

Notice: In order to comply with Internal Revenue Service rulings, be advised that your membership dues are not deductible for federal income tax purposes.

Signature

My electronic signature is a binding and valid signature. By signing here I agree to all of the terms and conditions set out in this authorization, which apply to my membership, dues payments and, if applicable, PEOPLE payments.