LOCAL UNION SUPPLIES ORDER FORMLocal Union Supplies and Forms

NO CHARGE ITEMS

Item# Item Quantity

F-1 Transfer Card _________

F-2 Local Union Supplies Blank Order Form _________

F-5 Honorable Withdrawal Card _________

F-6 Steward Credential Card _________

F-29 Grievance Blank Sheets (pk. of 25) _________

F-29A Grievance Fact Sheets (pk. of 25) _________

F-43 Membership Application Blank Cards (pk. of 50) _________

F-46 Payroll Deduction Authorization Card _________

F-64C Report of Council Officers Form _________

F-64L Report of Local Officers Form _________

F-6503 Change of Name, Address, Phone, E-mail Form _________

F-6706 Report of Members Dropped Form _________

F-6802 Report of Members Added and Reinstated Form _________

F-7404 Report of Agency Shop, Fair Share, Service _________ Fee Individuals Form

Requests for AFSCME Membership Cards should be directed in a separate letter to the Affiliate Relations Department, 1625 L Street, NW, Washington, DC 20036-5687.

Local Union Supplies

CHARGEABLE – PAYMENT MUST ACCOMPANY ORDER

Item# Item Quantity Price Total

F-3 Treasurer’s Receipt Book _____ 3.00 ______

F-8 Treasurer’s Cash Book _____ 9.50 ______

F-9 Secretary’s Minutes Book (Ring Binder) _____ 10.50 ______

F-13 Official Local Union Stationery (pk. of 100) _____pk. 4.00 ______

F-14 Official Local Union Envelope (pk. of 100) _____pk. 3.00 ______

F-21 International Constitution (Spanish) _____ 1.00 ______

F-22 International Constitution _____ 1.00 ______

F-23 Officers Handbook _____ 3.00 ______

F-24 Officers Handbook (Spanish) _____ 3.00 ______

F-26 Annual Dues Button (pk. of 100; Year ___ ) _____pk. 6.00 ______

F-27 Steward Button (11/2 inch round) _____ .25 ______ F-28 Chief Steward Button (11/2 inch round) _____ .25 ______

F-30 Steward Handbook _____ 3.00 ______

F-31 Steward Handbook (Spanish) _____ 3.00 ______

F-42 Gavel _____ 10.00 ______

F-44 Postcard Meeting Notice (pk. of 100) _____pk. 25.00 ______

F-73 How to Take Part in Local Meetings (English) _____ 1.00 ______

F-74 How to Take Part in Local Meetings (Spanish) _____ 1.00 ______

F-76 Local Union Election Manual _____ 1.00 ______

F-77 How to Chair a Meeting (English) _____ 1.00 ______

F-78 How to Chair a Meeting (Spanish) _____ 1.00 ______

F-80 Parliamentary Procedure at a Glance _____ 5.00 ______

F-81 AFSCME 2-Pocket Folder _____ .50 ______

F-82 Join AFSCME Button (21/4 inch round) _____ .25 ______

F-83 Rules of Procedure for Judicial Panel _____ 1.50 ______

F-91 AFSCME Pens, black ink (pk. of 25) _____pk. 10.00 ______

Local Union Supplies SUBTOTAL A: Please transfer this amount to the TOTALS box

DO NOT USE THIS SPACE • DO NOT USE THIS SPACE

Accounting Department

Date Received ________________ Amount Paid ________________

Shipping Department

Date Received ________________ Amount Paid ________________

Local Union Supplies SUBTOTAL A:

Union Membership Lapel Pins SUBTOTAL B:

AFSCME T-Shirts SUBTOTAL C:

TOTAL AMOUNT OF ORDER

+

+

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TO

TALS

Local Union Name Date

State and Local Union Number

RETURN POSTAGE GUARANTEED

Postmaster: Contents MerchandiseThis parcel may be opened for postal

inspection if necessary.

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• A check for the total amount due for all chargeable items must accompany this form.

• Please allow a minimum of 3-4 weeks for delivery.

• If an item is out of stock, you will be notified by mail that the item has been back-ordered and will be sent to you when it becomes available.

• When ordering Item F-26, please specify year.

Please print return mailing label & telephone number clearly, use street address only, no P.O. box numbers, please.

INST

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AFSCME Local Union Supplies Program1625 L Street, NW Washington, DC 20036-5687

F-77: How to Chair a Meeting (English)

F-76: Local Union Election Manual

F-1: Transfer Card

F-43: Membership Application Blank Card

F-6: Steward Credential Card

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Union Membership Lapel PinsAll lapel pins are gold with a military clutch back.

CHARGEABLE – PAYMENT MUST ACCOMPANY ORDER

Item# Item Quantity Price Total

J-3 AFSCME Logo Pin _____ 2.00 ______

J-8 5-Year Member Pin _____ 3.00 ______

J-9 10-Year Member Pin _____ 3.00 ______

J-13 15-Year Member Pin _____ 3.00 ______

J-14 20-Year Member Pin _____ 3.00 ______

J-22 25-Year Member Pin _____ 3.00 ______

J-23 30-Year Member Pin _____ 3.00 ______

J-24 35-Year Member Pin _____ 3.00 ______

J-26 40-Year Member Pin _____ 3.00 ______

J-27 Chief Steward Pin _____ 3.00 ______ J-28 Steward Pin _____ 3.00 ______

J-30 AFSCME Logo Cutout Pin _____ 2.00 ______

Union Membership Lapel Pins SUBTOTAL B: Please transfer this amount to the TOTALS box on other side

AFSCME T-ShirtsGreen with White AFSCME Logo – Indicate Quantity of each size.

CHARGEABLE – PAYMENT MUST ACCOMPANY ORDER

Size Quantity Price Total

Large _____ 6.00 ______

Extra Large _____ 6.00 ______

2X-Large _____ 6.00 ______

3X-Large _____ 6.00 ______

4X-Large _____ 6.00 ______

AFSCME T-Shirts SUBTOTAL C: Please transfer this amount to the TOTALS box on other side

F-27: Steward Button F-28: Chief Steward Button

F-73: How to Take Part in Local Meetings (English)

F-81: AFSCME 2-Pocket Folder

J-14: 20-Year Member Pin

J-30: AFSCME Logo Cutout Pin

F-30: Steward Handbook

J-28: Steward Pin

LOCAL UNION SUPPLIES ORDER FORM

F-91

049-09 BUG

J-27

F-82

Pricing Good Thru 12/31/10