Cannabis Workers Unite! With Teamsters, you can do better. Fill out this form today… First name Last name Address 1 Address 2 (optional) City Province British ColumbiaAlbertaSaskatchewanManitobaOntarioQuebecNewfoundlandNova ScotiaNew BrunswickPEINunavutNorthwest TerritoriesYukon Territory Postal Code Telephone Number Employer Job Classification Applicant email Date at time of application In applying for a membership I understand that the Union intends to apply to be certified as my exclusive bargaining agent and to represent me in collective bargaining. I, the undersigned, hereby authorize and request my employer to deduct from my salary once each month, an amount equal to the current monthly dues and/or assessments. Signature (type full name) All information obtained will be kept confidential. 78812