WVUE Yearly Membership Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Full name *FirstLast charge must the Email *Phone *Address *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDate of birth *County of Employment *— Select Choice —BarbourBerkeleyBooneBraxtonBrookeCabellCalhounClayDoddridgeFayetteGilmerGrantGreenbrierHampshireHancockHardyHarrisonJacksonJeffersonKanawhaLewisLincolnLoganMcDowellMarionMarshallMasonMercerMineralMingoMonongaliaMonroeMorganNicholasOhioPendletonPleasantsPocahontasPrestonPutnamRaleighRandolphRitchieRoaneSummersTaylorTuckerTylerUpshurWayneWebsterWetzelWirtWoodWyomingWork Location *Job Title *Membership subscription options *Regular – (yearly) – $405.00Substitute – (yearly) – $205.00Payment option *CardACHCard payment *Bank name *Routing number *Account number *Account typeCheckingSavingsYes, I want to join WV United for Education and become a member of UMWA, WVSSPA and WVUE. *I agreeYes, I authorize WVSSPA/UMWA to charge my account for annual dues. Dues are subject to periodic change by the governing bodies of the unions. I agree to notify WVSSPA in writing of any changes in my account information or termination of this authorization 15 days prior to the next due date of the charges. I understand that all changes must be in writing and this will be a recurring payment. *I agreeSubmit