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Key Benefits of Affiliation With The Georgia AFL-CIO
G eorgia AFL-CIOApplication for Affiliation Georgia State AFL-CIO 501 Pulliam St., S.W. Suite 549 Atlanta, Ga. 30312 Email: Click Phone 404.525.2793 Fax 404.525.5983Date _______________________________________________________________________________________________ Union Name and Local Number We wish to affiliate our organization with the Georgia State AFL-CIO by paying the prescribed amount of 75 cents per member per month. Enclosed is our check for theamount of $ ________ to pay Per Capita for ________members for the period beginning ______/_______ through______/______ . ___________________________________________________________________ Street Address of our Organization ___________________________________________________________________ City & State Zip Code Phone Number Fax Number ____________________________________________________________________ Name & Title Officer to which Correspondence should be addressed: ____________________________________________________________________ Street Address, P.O. Box or Route # _____________________________________________________________________ City, State & Zip Code Phone Number Fax Number _________________________________________________ E Mail address |