Membership Form


IUPAT DC 21

2980 Southampton Road
Philadelphia, PA 19154

AUTHORIZATION FOR REPRESENTATION

I hereby authorize the International Union of Painters and Allied Trades District Council 21 to represent me in collective bargaining with my current employer, as well as all other employers for whom I may become employed after this date, on all present and future job sites. I understand that this authorization may be used to obtain recognition from my current or future employer without an election. This authorization is non expiring, binding, and valid until as such time as I submit a written revocation.

Jose Valdez Caceres

822 N 32nd st
Camden, New Jersey 08105
United States

Jmvc1980@yahoo.com

Employer Name: Philadelphia Shipyard

Street Address: 2100 Kitty Hawk Ave
Address Line 2:
City: Philadelphia
State / Province: Pennsylvania
ZIP / Postal Code: 19112

Home Phone: (585) 450-9529

 

 

 

 

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Signature Certificate
Document name: Membership Form
lock iconUnique Document ID: 3ab311746c521e30034026fe618f047ad2ab03b8
Timestamp Audit
February 13, 2018 12:08 am ESTMembership Form Uploaded by Admin Admin - alex.r.markle@gmail.com IP 146.115.96.5
February 13, 2018 12:08 am ESTDocument viewed by Alex Markle - alex.r.markle+1@gmail.com IP 146.115.96.5
February 13, 2018 12:08 am ESTDocument signed by Alex Markle - alex.r.markle+1@gmail.com IP 146.115.96.5
February 13, 2018 12:08 am ESTThe document has been signed by all parties and is now closed.
July 4, 2018 11:53 pm EST Document owner admin@unionsignup.com has handed over this document to alex.r.markle@gmail.com 2018-07-04 23:53:50 - 146.115.96.5
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