Join the
union

Membership form

The information contained in this form is strictly confidential and secure.

First name

Last name

Address

Apt #

City

Province

Postal code

Phone number

Extension

Email (confirmation)

Employer

Job title

Workplace

I work in janitorial services

Date of birth

Social Insurance Number (optional)

Protection IndividuelleFamiliale

Spouse name

Spouse date of birth

Child name

Child birth date

I authorize The Service Employees Union, Local 800 to communicate by email with me.

YES NO

I freely join The Service Employees Union, Local 800 and authorize my employer to deduct union dues from my wages as required by law.

Signature

Signature date

I am already paying SEU 800 membership dues by payroll contribution.

I will voluntarily and personally pay the $2 membership dues as required by law.