Denver Newspaper Guild Membership

Denver Newspaper Guild Membership Application

First Name
Last Name
Date of Birth
Home Address
City:
Zip Code:

Home Phone
Email Address
Employed By
Date of Hire
Job Title
Social Security #

I am employed
Part Time Full Time

I designate The Newspaper Guild and its Local my agent in collective bargaining and authorize The Newspaper Guild and its Local to represent me before any Board, Court, Committee or other Tribunal in any matter involving collective bargaining, and I authorize The Newspaper Guild and its Local to represent me in adjusting any grievances I may have in connection with my employment. I pledge myself to abide by the constitution of The Newspaper Guild and the Bylaws of the Local.

Have you previously been a member of the Newspaper Guild or any other union? If so, please state when and where:

To:

I hereby assign to the Denver Newspaper Guild, and authorize the Employer to deduct from my salary account as his or her employee, an amount equal to my Guild membership dues or assessments and a one-time initiation fee in the amount of $6 ($2 for former union members; fee waived for former Newspaper Guild members), in accordance with the schedule submitted by the Treasurer of the Denver Newspaper Guild, for each calendar month following the date of this assignment. I hereby assign to the Denver Newspaper Guild, and authorize the Publisher to my Guild membership dues or assessments in accordance with the schedule submitted by the Treasurer of the Denver Newspaper Guild, for each calendar month following the date of this assignment. I further authorize and request the Publisher to remit the amount deducted to the Denver Newspaper Guild not later than the 10th day of that month. This assignment and authorization shall remain in effect until revoked by me, but shall be irrevocable for a period of one year from the date appearing below or until the termination of the collective bargaining agreement between yourself and the Guild, whichever occurs sooner. I further agree and direct that this assignment and authorization shall be continued automatically and shall be irrevocable for successive periods of one year each or for the period of each succeeding applicable collective agreement between the Publisher and the Guild, whichever period shall be shorter, unless written notice of its revocation is given by me to the Publisher and to the Guild by registered mail not more than thirty (30) days and not less that fifteen (15) days prior to the expiration of each period of one year, or of each applicable collective agreement between the Publisher and the Guild, whichever occurs sooner. such notice of revocation shall become effective for the calendar month following the calendar month in which the Publisher receives it. This assignment and authorization supersedes all previous assignments and authorizations heretofore given by me in relation to my Guild Membership dues.