Become a
Member Today!

By Phone:
1-800-374-9772

By Email:
afscme7@wt.net

By Mail:
Membership Application

Membership Application

 

Application Download

Please click on the link below to download the membership application.

Download Membership Application

Print, fill out, and mail to:

AFSCME/CEC7
1314 10th Street, Suite 230
Huntsville, TX 77320

 

Application Instructions

Section A: Agency Use Only
Do not write in this section

Section B: Employee Information
Please print out the form application, and write neatly in blue or black ink. Also, you can fill out the PDF on your computer, then print it and sign at the bottom.

NOTE: Applications cannot accepted via email or fax. They must be printed, signed, and mailed.

  • Social Security #: Fill in your social security number
  • Employee Name: Your legal name as it appears on your Social Security Card
  • Mailing Address/City/State/Zip: This is the address where you would like AFSCME materials sent
  • E-Mail Address: Your e-mail address
  • Home/Work Phone: Please be sure and include your area code
  • Agency Name: The name of the agency/university where you work
  • Facility/Location: Physical location of the facility where you work
  • Program/Department/Unit: The specific program, department, or unit where you work
  • Job Title: Your current job title
  • Work Hours: Approximately how many hours per week you work

Section C: Membership and Authorization

  • Effective Date: Enter the month you want the payroll deduction to begin. (Ex. An effective date of January 1 will be deducted from February 1 paycheck.)
  • Dues Amount: Please check box for the monthly dues amount to be deducted.
  • Authorization: Sign and date the application. The completed application must be mailed to AFSCME.

Please return the original completed application to:

AFSCME/CEC7
1314 10th Street, Suite 230
Huntsville, TX 77320

If you have any questions on how to complete the application or about AFSCME call (936) 295-5265 or 1-800-374-9772.