Local 1549 PAC Registration

*- Required Field

First Name*

Last Name*

Civil Service Title*

Agency* -- Select Agency --ACTUARYADMINISTRATION FOR CHILDREN'S 3ERVICESBD ED ADMINSTRATIONBD HIGHER EDBOARD OF CORRECTIONSBRONX COMMUNITY BOARD #10CASH PAYING DUES MEMBERCITY CLERKCITY PLANNING COMMISSIONCIVILIAN COMPLAINT REVIEW BOARDCOBRA MAYORALTY AGENCIESCOMMISSION ON HUMAN RIGHTSDC 37 GRIEVANCE REP'SDC 37 STAFFDEPARTMENT DESIGN AND CONSTRUCTIONDEPARTMENT FOR THE AGINGDEPARTMENT OF CORRECTIONSDEPARTMENT OF HOMELESS SERVICESDEPARTMENT OF INVESTIGATIONDEPARTMENT OF SOCIAL SERVICESDEPT OF BUILDINGSDEPT OF CITYWIDE ADMINISTRATIVE SERVICESDEPT OF CONSUMER AFFAIRSDEPT OF ENVIRONMENTAL PROTECTIONDEPT OF HEALTH & MENTAL HYGIENEDEPT OF INFORMATION TECHNOLOGY & TELECOMMUNICATIONSDEPT OF RECORDS AND INFORMATION SERVICESDEPT OF SANITATIONDEPT OF SMALL BUSINESS SERVICESDEPT OF TRANSPORTATION (ADMINISTRATION)DEPT OF YOUTH AND COMMUNITY DEVELOPMENTDISTRICT ATTORNEY BRONX COUNTYDISTRICT ATTORNEY QUEENS COUNTYDISTRICT ATTORNEY RICHMOND COUNTYFDNY FIRE PENSION FUNDFINANCE ADMINISTRATIONFINANCE CAMPAIGN BOARDFINANCIAL INFORMATION SERVICE AGENCYFIRE DEPARTMENTHEALTH AND HOSPITALSHOUSING AUTHORITYHOUSING PRESERVATION AND DEVELOPMENTLAW DEPARTMENTMAYORALTYNYC EMPLOYEES RETIREMENT SYSTEMNYC POLICE PENSION FUNDOFFICE OF ADMINSRATIVE TRIALS & HEARINGSOFFICE OF LABOR RELATIONSOFFICE OF PAYROLL ADMINISTRATIONOFFICE OF PROBATIONOFFICE OF THE COMPTROLLERORGANIZED CRIME CONTROL COMMISSIONPARKS AND RECREATION ADMINISTRATIONPOLICE DEPARTMENTPRESIDENT BORO OF BROOKLYNPRESIDENT BORO OF MANHATTANPRESIDENT BORO OF QUEENSTAX COMMISSIONTAXI AND LIMOUSINE COMMISIONTEACHERS RETIREMENT SYSTEM

Reason For Registration * -- Select Reason --General Membership RegistrationLocal 1549 General Membership MeetingPolitical Action ConferenceTown Hall Meeting - BronxTown Hall Meeting - BrooklynTown Hall Meeting - ManhattanTown Hall Meeting - QueensTown Hall Meeting - Staten Island

Email Address*

Phone Number*

Cell Number (to receive text messages from Local 1549)

Current Address line 1*

Current Address line 2 (optional)

City*

State* -- Select State --AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip Code*

Fill out one of the following: Membership ID number OR SSN#.

Membership ID Number (as found on your AFSCME, DC 37 Local 1549 Membership Card)*
OR
SSN# (last 4 digits only)*