IBEW 363 Vacation Check Authorization

Note: A valid email address is required. If you do not have one please contact the Union Office at (845)-783-3500.

Last 4 Digits of Social Security Number (*Required): *Must be a four digit code!

Card Number (*Required):

Are you a Member of Local 363 or Another Local:
363 Member       Other Local

Email Address (*Required): *Must be a valid email address!

Cell Phone Number: () - - *Must be complete and all Numbers!

Political Party:

Pay Union Dues: Yes No

For Year (*Required):

Note: Dues contributions for gifts to Local Union 363 are not deductible as Charitable Contributions for Federal Income Tax purposes. Dues paid to Local Union 363, however, may qualify as a Business Expense, and may be deductible in limited circumstances subject to various restrictions emposed by the Internal Revenue Service.

Please support the PAC Fund - We need to stay politically active to protect ourselves.
PAC - $50.00:
Yes       No

Send my Union and Fund Notices electronically to the provided email address:
Yes       No

Mail my vacation check to my home address:
Yes       No

Please enter your name and click the "I agree" check box to confirm that you have read all instructions and entered all information correctly.

Name: (*Required)

I agree (*Required): *Must be checked after reviewing all information!

Click the Submit Form button to submit your information.

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