Authorization Card I authorize a local union of the International Brotherhood of Teamsters, to represent me in collective bargaining with my employer. First Name Last Name Address City State Zip Telephone [(555) 555-5555] Email Address Employer Department Shift 1st     2nd     3rd Job Classification Please confirm that all the fields are filled out and all information is correct.

Copyright ©2003 Teamsters Local 67. All Rights Reserved
2120 Bladensburg Rd., NE
 Washington, DC 20018
202-526-3600