SEIU Nevada


Membership Application & Dues Deduction Agreement 

We’re Stronger Together

Join together for a stronger voice in our communities

Yes, I want to join with my fellow employees and become a member of SEIU Local 1107. I hereby request and voluntarily accept membership in SEIU and I agree to abide by its Constitution and Bylaws and by the Service Employees International Union Constitution and Bylaws. I authorize SEIU to act as my exclusive representative in collective bargaining over wages, benefits, and other terms and conditions of employment with my employer. 

Dues Deduction/Checkoff Authorization: I recognize the need for a strong union and believe everyone represented by our union should pay their fair share to support our union’s activities. I hereby request and voluntarily authorize my employer to deduct from my earnings and to pay over to SEIU an amount equal to the regular monthly dues uniformly applicable to members of SEIU. This authorization shall remain in effect and shall be irrevocable unless I revoke it by sending written notice to both the Employer and the Union by mail during the period October 1 to October 31 of each year and shall be automatically renewed as an irrevocable check-off from year to year unless revoked as herein above provided, irrespective of whether I am a Union member.

Contributions or gifts to SEIU are not tax deductible as charitable contributions. However, they may be tax deductible as ordinary and necessary business expenses.


**By providing my phone number, I understand that SEIU and its locals and affiliates may use automated calling technologies and/or text message me on my cellular phone on a periodic basis. SEIU will never charge for text message alerts. Carrier message and data rates may apply to such alerts. Text STOP to 787753 to stop receiving messages. Text HELP to 787753 for more information.