Spring Branch AFT Membership Form

Spring Branch AFT Membership Form
STEP 1: Provide your contact information
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Is the above address also your billing address?*

YesNo
If the above address is not your billing address, please enter your billing address below

Street Address

Street Address Line 2

CityState

Zip Code
Last four digits of your Social Security number*
Personal e-mail address*
District e-mail address
Job title*
Select your campus or worksite*
Cell Phone Number*

Area CodePhone Number
Do you want to receive text alerts? (Standard text rates may apply)*
Home Phone Number

Area CodePhone Number
Select your Membership dues rate. This is the amount you pay per pay period (24 pay periods) based on your annual salary*

$22.14 ( Teachers/Certified Professionals)$14.57 (Support staff earning more than $14,545 per year)$10.78 (Support staff earning $14,453 or less per year)
STEP 2: Own your power!
HELP SUPPORT PUBLIC EDUCATION! The Spring Branch AFT encourages all of its members to help support our Committee On Political Education (COPE). Spring Branch AFT COPE collects voluntary contributions from members to help support state and local candidates who support public education and public education employees. Spring Branch AFT COPE may engage in joint efforts with the Texas AFT, AFT and AFL-CIO. A voluntary COPE authorization may be revoked at any time by notifying Spring Branch AFT. Making a contribution is not a condition of membership, and members have the right to refuse to contribute without loss of membership status, rights or benefits. Below, select the amount that you want to contribute to COPE each pay period.*
HELP KEEP YOUR UNION STRONG! Interested in becoming more involved with AFT? Let us know how you want to get involved and we will send you more information. Choose as many as you like!

I want to learn how to sign up new members with AFTI want to volunteer at the AFT office after schoolI want to attend SBISD school board meetings with AFTI want to keep AFT members at my campus informed on issuesI want to assist AFT when they visit my campus for meetingsOther
STEP 3: Enroll with our new dues payment system
Bank Name*
Account type*

CheckingSavings
Lookup your Bank/Routing number
If you do not see your financial institution in the list above, select "other" and provide the information below.
Bank Routing Number*
Bank Account Number*
Confirm Bank Account Number*
Provide an e-signature below*
Should be Empty:

Spring Branch AFT Membership Form

STEP 1: Provide your contact information

STEP 2: Own your power!

STEP 3: Enroll with our new dues payment system