Community Members Test

YES, I wish to join SEIU LOCAL 721 as an ASSOCIATE MEMBER to support its mission to fight for better wages and conditions for workers and their families.
Member Information
First Name*
Middle Initial
Last Name*
Email Address*
Cell Phone*
Home Phone
Yes, 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 any text from us or 721721 to stop receiving messages. Text HELP to 721721 for more information.
Yes, 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 any text from us or 721721 to stop receiving messages. Text HELP to 721721 for more information.
Home Address*
Street Address City State Zip Code
Industry
Are you registered to vote?*
- Yes
- No
Payment Information
Associate Membership Options*
- RETIREE MEMBER: $5 a month
- RANK & FILE MEMBER: $15 a month
- LABOR LEADER: $30 a month
- CHAMPION: $60 a month
Total
$0.00
- Visa
- MasterCard
- Discover
- American Express
Credit Card Number*
Expiration Date*
Year*
Security Code*
Billing Address*
Street Address City State Zip Code
YES! I want to join SEIU LOCAL 721 as an Associate Member. I authorize SEIU Local 721 to make a regularly scheduled and recurring charge to the credit card indicated here. I understand that during each billing period, my credit card will be charged once in the amount selected above. I acknowledge the No Refund Policy, and that this authorization will remain in effect until canceled by me pursuant to the Cancellation Policy and Procedure. Membership dues and contributions to SEIU Local 721 are not tax deductible as charitable contributions.*
YES! I want to join SEIU LOCAL 721 as an Associate Member. I authorize SEIU Local 721 to make a regularly scheduled and recurring charge to the credit card indicated here. I understand that during each billing period, my credit card will be charged once in the amount selected above. I acknowledge the No Refund Policy, and that this authorization will remain in effect until canceled by me pursuant to the Cancellation Policy and Procedure. Membership dues and contributions to SEIU Local 721 are not tax deductible as charitable contributions.
Electronic Signature*

I understand this is a legal representation of my signature
Hidden
Converge Recurring ID
Hidden
Converge Token
Hidden
Status
Hidden
Next Payment Date
Hidden
Supporter ID
Hidden
Member ID
Hidden
Signup Date

All Membership Applications are reviewed by SEIU Local 721. SEIU Local 721 reserves the right to refuse membership for any reason.

Member Information

Payment Information

No Refund Policy

Cancellation Policy and Procedure.