NEW MEMBER APPLICATION City Employees Club As a Club Member You’ll Enjoy These VALUABLE BENEFITS: Join Today! Discount Tickets! Join Today! Up to 60 % Off! Discount Tickets! Discount Tickets! ® ® City Employees Club 120 West 2nd Street • Los Angeles, CA 90012 (800) 464-0452 • www.cityemployeesclub.com The City Employees Club is a membership program of LACEA Insurance Services, Inc. (CA DOI Lic. #0B98000). LACEA Insurance Services, Inc. is a licensed insurance agency offering insurance benefits to qualified Club members. You’ll want to take it with you everywhere you go — it’s your passport to a world of discounts, benefits, events, connections and fun! BIG Discounts! & Savings on: • Movie Tickets • Amusement Parks • Attractions • Car Rentals • Hotels • eTickets available • Omaha Steaks • Hotel Storm • Skechers • Office Depot • Restaurant.com • Avis • Club VIP Signature Events • Scholarship Program • Free Notary Service Partner Discounts: More Benefits: 03/2018 JJLA: COUNTY Cheap tickets. Insane Service. Affordable Insurance. LA COUNTY City Employees Club New Member Application SEAL WITH TAPE BEFORE MAILING - DO NOT STAPLE NO POSTAGE NECESSARY IF MAILED IN THE UNITED STATES CITY EMPLOYEES CLUB 311 S SPRING ST STE 1300 LOS ANGELES CA 90013-9844 POSTAGE WILL BE PAID BY ADDRESSEE FIRST-CLASS MAIL PERMIT NO. 62722 LOS ANGELES CA BUSINESS REPLY MAIL ® ® Your Club Membership Card Your personalized club membership card will arrive in the mail approximately one week after we receive your membership application. Up to 60% Off! Discount Tickets!
2
Embed
Employees Club of California - Join NEW MEMBER APPLICATION ...€¦ · City Employees Club As a Club Member You’ll Enjoy These VALUABLE BENEFITS: Join oday! Discount Tickets! Join
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
NEW MEMBER APPLICATIONCity Employees Club
As a Club Member You’ll Enjoy These
VALUABLE BENEFITS:
Join Today!
DiscountTickets!
Join Today!
Up to 60% Off!
DiscountTickets!
DiscountTickets!
®
®
City Employees Club 120 West 2nd Street • Los Angeles, CA 90012(800) 464-0452 • www.cityemployeesclub.com
The City Employees Club is a membership program of LACEA Insurance Services, Inc. (CA DOI Lic. #0B98000). LACEA Insurance Services, Inc. is a licensed insurance agency offering insurance benefits to qualified Club members.
You’ll want to take it with you everywhere you go — it’s your passport to a world of discounts, benefits, events, connections and fun!
BIG Discounts! & Savings on:• Movie Tickets• Amusement Parks• Attractions• Car Rentals• Hotels• eTickets available • Omaha Steaks• Hotel Storm• Skechers • Office Depot• Restaurant.com• Avis
• Club VIP Signature Events• Scholarship Program• Free Notary Service
Your Club Membership CardYour personalized club membership card will arrive in the mail approximately one week after we receive your membership application.
Up to 60% Off!
Discount Tickets!
03/2018 JJLA: COUNTY
EO11
3Join Today!
Membership Application
LOS
ANG
ELES
CIT
Y EM
PLO
YEES
ASS
OCI
ATIO
N
Membership in the City Employees Club (The Club) is now being offered to
employees of the County of Los Angeles.
When you become a member of the Club, you will have exclusive access to amazing membership benefits (like discount tickets and special events). Go to our website,
www.cityemployeesclub.com for all the details.
CALL THE CLUB TOLL FREE:(800) 464-0452
VISIT THE CLUB STORE:120 W. 2nd StreetLos Angeles, CA 90012– FREE validated parking at
Joe’s Parking behind the Club Store. Parking entrance located at 220 S. Spring St., Los Angeles, CA 90012
BUSINESS HOURS:– 8 a.m. to 4:30 p.m., Mon. - Fri.
Harle
m P
l.
W. 2nd St.
3rd St.
Mai
n St
.
Spri
ng S
t.
City Hall
Caltrans/DOT
LAMall
City HallEast
LAPD
Headquarters
1st Street
Temple St.
Los
Ange
les
St.
N
ClubStore
City HallSouth
New
Mem
ber
In
form
atio
n:
INST
RUCT
ION
S: S
impl
y co
mpl
ete
and
sign
the
form
bel
ow, a
nd th
en c
ompl
ete
and
sign
the
Sala
ry D
educ
tion
Auth
oriz
atio
n (b
elow
). Fo
ld th
is e
ntire
pag
e w
ith th
e Bu
sine
ss R
eply
pan
el sh
owin
g; ta
pe c
lose
d (d
on’t
use
a st
aple
) an
d po
p in
the
mai
l. W
e’ll
proc
ess y
our a
pplic
atio
n an
d se
nd y
our m
embe
rshi
p ca
rd in
abo
ut tw
o w
eeks
.
Club
Cou
nsel
or
Dat
e /
/
* Th
e e-
mai
l add
ress
you
pro
vide
will
help
us
com
mun
icat
e w
ith y
ou re
gard
ing
upda
tes
and
bene
fits
that
may
bec
ome
avai
labl
e to
you
. Yo
ur e
-mai
l add
ress
will
be u
sed
sole
ly b
y th
e Ci
ty E
mpl
oyee
s Cl
ub, a
nd w
ill no
t be
dist
ribut
ed to
oth
ers.
City
Em
ploy
ees
Club
120
Wes
t 2nd
Stre
et •
Los
Ange
les,
CA
9001
2(8
00) 4
64-0
452
• ww
w.c
ityem
ploy
eesc
lub.
com
Nam
e of
Ass
ocia
tion
Firs
t N
ame
M
iddl
e In
itial
La
st N
ame
Hom
e A
ddre
ss
City
Sta
te
Zip
Hom
e P
hone
W
ork
Pho
ne
Cel
l Pho
ne
D
ate
of B
irth
(MM
/DD
/YY
YY
)
Cou
nty
Em
ploy
ee I
D #
Dep
artm
ent
Nam
e
Job
Title
Nam
e of
Loc
atio
n or
Uni
t
m M
ale
m
Fem
ale
m
Mar
ried
m S
ingl
e
Wor
k A
ddre
ss
City
Sta
te
Zip
E-m
ail a
ddre
ss*
(no
coun
ty e
-mai
l)
m
Yes
, pl
ease
sen
d m
e e-
mai
l upd
ates
. R
efer
red
by:
M
embe
r N
o.
Soc
ial
Sec
urity
N
umbe
r
/
/
(
)
(
)
(
)
Cit
y E
mp
loye
es C
lub
We
agre
e, in
con
side
ratio
n fo
r and
as
a co
nditi
on o
f the
Los
Ang
eles
Cou
nty
Chic
ano
Empl
oyee
s As
soci
atio
n w
ithho
ldin
g an
d tra
nsm
ittin
g pa
yrol
l ded
uctio
ns a
utho
rized
by
Gove
rnm
ent C
ode
Sect
ions
115
1 an
d 11
52, t
o ho
ld h
arm
less
the
Los
Ange
les
Coun
ty C
hica
no E
mpl
oyee
s As
soci
atio
n (L
ACCE
A), i
ts o
ffice
rs a
nd e
mpl
oyee
s fro
m a
ny li
abilit
y th
at m
ay re
sult
from
mak
ing,
can
celin
g or
cha
ngin
g re
quire
d de
duct
ions
.
03/2018 JJLA: COUNTY
XX
XX
X
LO
S A
NG
ELE
S C
OU
NT
Y
CH
ICA
NO
EM
PLO
YEE
S A
SSO
CIA
TIO
N
____
____
____
____
____
____
____
____
____
____
____
____
____
___
____
____
____
____
_
___
____
____
__
Last
Nam
e, F
irst N
ame
Mid
dle
Empl
oyee
No.
D
ate
__
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
_ D
epar
tmen
t Nam
e
Dep
t No.
__
____
____
____
____
____
____
____
____
____
____
____
_
__
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
__
Nam
e of
Loc
atio
n or
Uni
t (e.
g. C
amp
Smith
)
J
ob T
itle
E
mpl
oym
ent D
ate
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
___
____
____
____
____
____
____
____
____
____
H
ome
Addr
ess
City
& Z
ip C
ode
H
ome
Phon
e __
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
_
_
____
____
____
____
____
____
____
____
___
Bus
ines
s Ad
dres
s
C
ity &
Zip
Cod
e
B
usin
ess
Phon
e &
Ext
. __
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
_
_
____
____
____
____
____
____
____
____
___
E-M
ail A
ddre
ss
(No
Cou
nty
E-m
ails
)
Cel
l Pho
ne
Rec
ruite
r’s In
form
atio
n R
efer
red
by:
S
E
mpl
oyee
Num
ber:
I HER
EBY
AUTH
ORIZ
E TH
E AU
DITO
R OF
THE
COU
NTY
OF L
OS A
NGEL
ES O
R HI
S AG
ENTS
TO
DEDU
CT
MONT
HLY
FROM
SAL
ARY
EARN
ED B
Y ME
IN A
NY D
EPAR
TMEN
T OR
DIS
TRIC
T OF
THE
COU
NTY
OF L
OS A
NGEL
ES, T
HE
AMOU
NT S
HOW
N HE
REON
AND
TO
PAY
SAME
TO:
LO
S AN
GELE
S CO
UNTY
CHI
CANO
EMP
LOYE
ES A
SSOC
IATI
ON
IF A
LL O
R AN
Y PO
RTIO
N OF
THI
S DE
DUCT
ION
AUTH
ORIZ
ATIO
N IN
CLUD
ES IN
SURA
NCE
PREM
IUMS
AND
/OR
EMPL
OYEE
ORG
ANIZ
ATIO
N DU
ES, I
ALS
O AU
THOR
IZE
THE
AUDI
TOR
TO A
DJUS
T FR
OM T
IME-
TO-T
IME
THE
AMOU
NT
OF T
HIS
DEDU
CTIO
N AS
MAY
BE
REQU
IRED
TO
COMP
LY W
ITH
ADJU
STME
NTS
IN C
OUNT
Y SU
BSID
Y AM
OUNT
S OR
IN
PREM
IUMS
UND
ER E
XIST
ING
CONT
RACT
S W
ITH
SAID
INSU
RANC
E PL
ANS,
OR
TO C
OMPL
Y W
ITH
DUES
SCH
EDUL
ES
DETE
RMIN
ED B
Y SA
ID E
MPLO
YEE
ORGA
NIZA
TION
S’ G
OVER
NING
BOD
Y IN
ACC
ORDA
NCE
WIT
H SU
CH O
RGAN
IZA-
TION
S’ C
ONST
ITUT
ION,
CHA
RTER
, BYL
AWS,
OR
OTHE
R AP
PLIC
ABLE
LEG
AL R
EQUI
REME
NTS.
THIS
AUT
HORI
ZATI
ON C
ANCE
LS A
ND R
EPLA
CES
ANY
PREV
IOUS
LY S
IGNE
D BY
ME
WIT
H TH
IS D
EDUC
TION
AG
ENCY
FOR
THI
S PU
RPOS
E AN
D SH
ALL
REMA
IN IN
EFF
ECT
UNTI
L CA
NCEL
LED
BY M
E BY
WRI
TTEN
NOT
ICE.
I EX
PRES
SLY
UNDE
RSTA
ND A
ND A
GREE
THA
T TH
E AU
DITO
R, H
IS A
GENT
S, O
R TH
E CO
UNTY
ACT
ING
UNDE
R TH
IS
AUTH
ORIZ
ATIO
N SH
ALL
NOT
BE L
IABL
E IN
ANY
MAN
NER
FOR
FAIL
URE
OR D
ELAY
IN M
AKIN
G TH
E DE
DUCT
ION
OR
PAYM
ENTS
HER
E AU
THOR
IZED
.
For O
ffice
Use
Onl
y:
M
embe
r Sin
ce: _
____
____
____
____
____
__
C
ance
llatio
n D
ate:
____
____
____
____
__
Rea
son:
____
____
____
____
____
____
____
____
____
____
____
____
_
Cut
Alo
ng D
otte
d Li
ne
RE
CE
IVE
$2
0.0
0 F
OR
EA
CH
NE
W M
EM
BE
R T
HA
T Y
OU
RE
CR
UIT
!
LAC
CE
A is
offe
ring
$20.
00 fo
r ea
ch n
ew m
embe
r th
at y
ou r
ecru
it.
Plu
s, a
ll ne
w m
embe
rs w
ill r
ecei
ve a
LA
CC
EA
T-
shirt
whi
le s
uppl
ies
last
. W
ant
mor
e ca
sh?
Ther
e is
no
limit
to th
e nu
mbe
r of m
embe
rs y
ou m
ay re
crui
t, yo
u w
ill re
ceiv
e $2
0.00
for e
ach
new
m
embe
r tha
t sig
ns u
p. P
leas
e no
te th
at y
ou w
ill re
ceiv
e th
e $2
0.00
for e
ach
new
mem
ber t
hat y
ou re
crui
t afte
r the
90-
day
appl
icat
ion
perio
d. F
or m
ore
appl
icat
ions
, pl
ease
cal
l our
offi
ce a
t (6
26)
458-
2314
. D
ON
’T F
OR
GET
TO
IN
-C
LUD
E YO
UR
INFO
RM
ATI
ON
IN T
HE
“REC
RU
ITER
’S IN
FOR
MAT
ION
” B
OX
BEL
OW
TO
GET
CR
EDIT
FO
R T
HE
REC
RU
ITM
ENT.
By
sign
ing
the
Payr
oll D
educ
tion
Auth
oriz
atio
n ca
rd, y
ou c
ertif
y th
at y
ou h
ave
rece
ived
and
agr
ee to
the
LAC
CEA
Mem
bers
hip
Agre
emen
t rec
eive
d w
ith th
is a
pplic
atio
n, a
nd c
ertif
y th
at a
ll of
the
info
rmat
ion
prov
ided
in th
is a
pplic
atio
n is
true
and
cor
rect
to th
e be
st o
f you
r kno
wle
dge.
Join the City Employees ClubThe Club is your passport to hundreds of dollars in savings on movie tickets, theme parks, entertainment, and destinations. You’ll automatically receive all Club membership benefits for a payroll deduction of only $6.00 per month.
Find out more about the Club and all its benefits at www.cityemployeesclub.com
Club Members Enjoy:
UP TO 60% OFFDiscount Tickets to movies and attractions like…
• AMC Theaters• Regal/Edwards/UA• Six Flags Magic Mountain• Knott’s Berry Farm• ...and many more.
Club Store 24/7 online access for:• Exciting sporting and special event tickets• Online ordering of discount tickets: no waiting in line!