Council Credential

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COUNCIL DELEGATE & ALTERNATE CREDENTIAL

Delegate / Alternate
Affiliates
Method of Elections
Signatures
Submitter Information

Delegate

Delegate's First Name:

*

Delegate's Last Name:

*

AFSCME Member ID:

*

Member Lookup Tool

Delegate's Home Street Address:

*

City:

*

State:

Zip:

*

HomePersonal Cell**

Delegate's Telephone Number:

*

**By providing your cell phone number you consent to receive calls (including recorded or autodialed calls, or texts) at that number from AFSCME and its affiliated labor, political and charitable organizations on any subject matter. Your carrier’s rates may apply. You may modify your preferences at www.afscme.org/tcpa.

Delegate's Personal E-mail Address:

**

Please check if you are a first-time delegate

AFPK Captured

*

Convention Number

*

Status

Form Type

*

Alternate

Alternate's First Name:

*

Alternate's Last Name:

*

AFSCME Member ID:

*

Member Lookup Tool

Alternate's Home Street Address:

*

City:

*

State:

Zip:

*

HomePersonal Cell**

Alternate's Telephone Number:

*

**By providing your cell phone number you consent to receive calls (including recorded or autodialed calls, or texts) at that number from AFSCME and its affiliated labor, political and charitable organizations on any subject matter. Your carrier’s rates may apply. You may modify your preferences at www.afscme.org/tcpa.

Alternate's Personal E-mail Address:

**

Please check if you are a first-time delegate