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Membership and Dues Authorization Form
This form auto-generates a filled and signed membership application and dues authorization form for ALE’s records. You will also receive a copy of the form. All electronic signatures submitted here will be accepted for membership and dues purposes.

You can calculate your expected dues by using the formula on our website at FAQ #6 (nyccouncilunion.com/membership), or emailing us at nyccouncilunion@gmail.com. Dues are deducted automatically from card signed members at each paycheck.

By providing your mobile phone number and email address, you understand that ALE may periodically call, text, or email you. Carrier message/data rates may apply.
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First Name *
Last Name *
Address *
Apt. No
City *
State *
ZIP Code *
Phone Number *
E-Mail Address *
Title *
Division *
Council District Number (Put "N/A" if Finance) *
Council Member (Put "N/A" if Finance) *
Salary *
Membership Application
I, the undersigned, hereby request and accept membership in THE ASSOCIATION OF LEGISLATIVE EMPLOYEES (hereinafter ALE) and agree to be bound by ALE's constitution. I understand that the constitution will require me to be a member in good standing, which will include, but not be limited to, payment of dues to maintain continuity of membership. My membership in ALE shall be continuous unless I notify ALE in writing that I intend to resign.
Membership Signature
Membership Date Signed
MM
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DD
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YYYY
DUES ASSIGNMENT & DEDUCTION AUTHORIZATION
During my employment in a title represented by ALE, and to receive the full benefits offered by ALE, I hereby assign to ALE, from my compensation as an employee of the New York City Council, ALE's current dues amount and any duly authorized dues increase, to be deducted in each regular payroll from my salary/wages.
 
I hereby further authorize the City of New York to deduct from my compensation all ALE dues and other fees or assessments as shall be certified by ALE under the constitution and to pay over said sums to ALE. This assignment and authorization shall remain in effect and be irrevocable, regardless of whether I am or remain a member of ALE, for a period of one year from the date of authorization and shall automatically renew from year to year unless I revoke it by sending written notice to both ALE and the New York City Council, postmarked or received between November 1 and January 31st (regular health benefit enrollment period).

Should any provision of this assignment and authorization be adjudged to be unenforceable, the invalid provisions shall be enforced to the fullest extent permitted by law and shall not affect the validity of the remainder of this agreement. I and ALE agree that the electronic signatures in this document are intended to authenticate this writing and to have the same force and effect as ink signatures.

Dues Signature
Dues Date Signed
MM
/
DD
/
YYYY
I accept the terms of membership and dues assignment above. *
Required
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