LOCAL UNION SUPPLIES ORDER FORM Local 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 (1 1 /2 inch round) _____ .25 ______ F-28 Chief Steward Button (1 1 /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 (2 1 /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 + + = TOTALS Local Union Name Date State and Local Union Number RETURN POSTAGE GUARANTEED Postmaster: Contents Merchandise This parcel may be opened for postal inspection if necessary. AMERICAN FEDERATION OF STATE, COUNTY AND MUNICIPAL EMPLOYEES, AFL-CIO 1625 L Street, NW, Washington, DC 20036-5687 TO Name ___________________________________________________________________ Address _________________________________________________________________ City __________________________________ State _______ ZIP ________________ Recipient’s Telephone Number (______)_______________________________________ • 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. INSTRUCTIONS RETURN Please return completed forms to: AFSCME Local Union Supplies Program 1625 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 STREET ADDRESS ONLY - NO P.O. BOX NUMBERS