National Federation of Federal Employees

N.F.F.E.

Application For Associate Membership

    I hereby apply for membership in the independent NATIONAL FEDERATION OF FEDERAL EMPLOYEES and agree to abide by its constitution.

Mr.
Mrs.
Miss_________________________________          
Home Phone_______________

Home
Address____________________________________________________________
                          Street                                     City                     State             Zip

Department or Agency_________________________________________________

Position Title_____________________  Represented by____________________

Dues to Pay:  Dues are already incorporated within the associate member rates for plans. No additional payment is needed.

Applicant's Signature_____________________________ Date_________________

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Mail all forms and correspondence to NWPA

Please Remember To:
Turn your Direct Deposit form in to payroll.
Please mail your enrollment form to: