Application For Labor Organizer Card {2206}

APPLICATION FOR LABOR ORGANIZER CARD Pursuant to Texas Labor Code 101.110 (Vernon 1996), I hereby request the Secretary of State to issue me a Labor Union Organizers Card, and for that purpose I hereby submit the following: 1. NAME ___________________________________________________________________ ___ (Last Name) (First Name) (M.I.) 2. ADDRESS ________________________________________________________________ ___ (Street Address or P.O. Box) ___________________________________________________________________ (City) (State) (Zip) 3. I will organize for the following union: ________________________________________________________________________ _____ (Name and address of Union represented) ________________________________________________________________________ _____ ________________________________________________________________________ _____ 4. I am affiliated with the following local, state, national, or international union(s): ________________________________________________________________________ _____ ________________________________________________________________________ _____ 5. Completeone of the following: [ ] I was elected to be an organizer for my labor union by the members of the union. A copy of the minutes of the union meeting showing my election as labor organizer is a ttached. [ ] I was appointed to be an organizer for my labor union, which is organized and governed by the laws of a jurisdiction outside of Texas. (Labor unions governed by Texas law must elect their organizers by membership vote.) A copy of my notification of appointment is attached. _____________________________________________ (Applicants signature) RETURN TO: Secretary of State Statutory Documents Section P. O. Box 12887 Austin, Texas 78711 Form No. 2206 American LegalNet, Inc. www.USCourtForms.com