Join the Union I hereby request and accept membership in the United Electrical, Radio and Machine Workers of America (UE), and authorize it to represent me, and in my behalf to negotiate and conclude all agreements as to hours of labor, wages, and all other conditions of employment. First Name (required) Last Name (required) MIT Email Address (required) Personal Email Address Phone (required) Employer (required) Department (required) Job Title (required) Address (required) Street City State —Please choose an option—AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingZip Signature (required) Date: I agree that I entered my name correctly in the "Name" field above and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature. Δ
