Join Up BlueForm BlueForm General Information First Name * Middle Name Last Name * Address * Address Address Address City City State Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State Zip/Postal Zip/Postal APPLICATION FOR MEMBERSHIP AND CHECK-OFF SERVICE CHARGE I, _____, employed by Walt Disney World Co., hereby apply for membership in the SERVICE TRADES COUNCIL UNION and/or its affiliate member, and I, specifically, agree to be bound by the Constitution and By-Laws of the body to which I am admitted membership. I, also, specifically authorize the SERVICE TRADES COUNCIL to apply for and effect a transfer of my membership between affiliates in the event I am reassigned by employer to an area represented principally by an affiliate other than the one I am applying for membership herein. I hereby designate and authorize the SERVICE TRADES COUNCIL UNION, its affiliates and its representatives, to act exclusively as my agent and representative for the purpose of collective bargaining. Signature * Clear If you are human, leave this field blank. Next