Representation Card

I hearby authorize International Alliance of Theatrical Staging Employees, Moving Picture Technicians, Artists and Allied Crafts of the United States, it's Territories and Canada to represent me for the purpose of collective bargaining with my below named Employer, and to negotiate and conclude all agreements respecting wages, hours, and other terms and conditions of employment. I understand that this card can be used by the Union to obtain recognition from my employer without an election, and hearby also apply for membership in the named Union. 
 

Authorization Check Box Must be checked prior to submitting
First name:
Last Name:
Email Address:
Primary Phone Number:
Current Employer:
Current Craft:
Address:
City:
State:
Zip Code: