Join Birmingham AFT

Please enter full name.
Please enter today's date.
Please enter your home address.
Please enter the city of your home address
Please enter the zip code of your home address.
Please enter your phone number.
Please enter what school/location you currently work at.
Please enter your employee number.
Please enter your personal email address.
Position
Please enter how your job position is categorized.
Please enter your current job title.
Enter your social security number.
Please enter the name of your beneficiary.
Please enter the address of the beneficiary.
Please enter the city of the beneficiary.
Please enter the state of beneficiary.
Please enter the zip code of beneficiary.
Ms. Valerie Bishop, Please accept this letter as authorization to immediately cancel my membership with the BEA/AEA. Please respect my legal right to freely join or not join the organization of my choice without fear of harassment, intimidation, or interference. If not applicable enter N/A. If applicable enter your name.