International Guards Union of America (I.G.U.A.) Local #155
Jackson and Memphis TN

Assignment and Authorization of Union Membership Dues

I,

Name

, being a member of Local #155 of the International Guards Union of America (I.G.U.A.) in Jackson and Memphis TN and an employee in the security bargaining unit, hereby assign to I.G.U.A. Local #155, during the time I am continuously in the bargaining unit and on payroll of F.J.C. Security Inc. or ADC LTD NM to deduct such amount as I.G.U.A. Local #155 certifies in writing to the company to be uniform periodic membership dues of my local union.I authorize you to deduct such amount ($30.00) from my wages on the first payday of each month (F.J.C. Security Inc. personnel) or adjusted installments (ADC LTD NM personnel) as dues for the following month and to remit the same on my account to the proper officials of and designated by I.G.U.A. Local #155.This assignment and authorization shall continue so long as I am continuously a member of the bargaining unit,on the payroll of F.J.C. Security, Inc. or ADC LTD NM and/or unless a withdrawal notice is submitted in writing.

Date Signature (Sign inside gray box)

APPLICATION FOR MEMBERSHIP
INTERNATIONAL GUARDS UNION OF AMERICA
LOCAL UNION NO. 155

I hereby request and accept membership in the International Guards Union of America, Local 155,and authorize said Union to represent me and, in my behalf, to negotiate and conclude any and all agreements as to wages, hours, and other conditions of employment.This full power and authority to act for the undersigned supersedes and cancels any power and authority heretofore given to any person or organization to represent me. I agree to be bound by the Constitution and By-Laws, and rules and regulations of the Union, and any contracts that may be in existence at the time of this
application or that may be negotiated by the Union.

Signature (Sign inside gray box)

Residence

(Number and Street) (City or Town and State) (Zip Code)

Employer

(Address)

Job Classification

Date of Birth
(To be kept on file by Local Union)

(To be kept on file by Local Union)

APPICATION FOR MEMBERSHIP
INTERNATIONAL GUARDS UNION OF AMERICA
LOCAL UNION NO. 155

I hereby request and accept membership in the International Guards Union of America, Local 155, and authorize said Union to represent me and, in my behalf, to negotiate and conclude any and all agreements as to wages, hours, and other conditions of employment. This full power and authority to act for the undersigned supersedes and cancels any power and authority heretofore given to any person or organization to represent me. I agree to be bound by the Constitution and By-Laws, and rules and regulations of the Union, and any contracts that may be in existence at the time of this application or that may be negotiated by the Union.

Signature (Sign inside gray box)

Residence

(Number and Street) (City or Town and State) (Zip Code)

Employer

(Address)

Job Classification

Date of Birth
(To be kept on file by Local Union)

(To be forwarded to International Office)

OBLIGATION OF THE INTERNATIONAL GUARDS UNION OF AMERICA

I,

Name

, I do solemnly promise that in consideration of being admitted into membership into this Union, I will fully and faithfully carry on the duties and obligations that are imposed upon me by the Constitution and By-Laws of the International or any affiliated or subordinate union of the International Guards Union of America, and that I will at all times act as a true union person and be faithful to the obligations, duties, and requirements of such a union person; that I will aid my fellow members and fellow unionists in the attainment of the ideals of true trade unionism in every honorable and legal manner; and that I will obey and follow the lawful directions and orders of the officers of this Union.

Signature(Sign inside gray box)

Date of Initiation
Initiation Fee: $_______________________ Local Union No. 155

OBLIGATION OF THE
INTERNATIONAL GUARDS UNION OF AMERICA

I,

Name

, I do solemnly promise that in consideration of being admitted into membership into this Union, I will fully and faithfully carry on the duties and obligations that are imposed upon me by the Constitution and By-Laws of the International or any affiliated or subordinate union of the International Guards Union of America, and that I will at all times act as a true union person and be faithful to the obligations, duties, and requirements of such a union person; that I will aid my fellow members and fellow unionists in the attainment of the ideals of true trade unionism in every honorable and legal manner; and that I will obey and follow the lawful directions and orders of the officers of this Union.

Signature(Sign inside gray box)

Date of Initiation
Initiation Fee: $_______________________ Local Union No. 155