Authorization Card
Please print this page, complete the card and mail to:
UFCW Local 1167, P.O. Box 1167, Bloomington, CA. 92316.

THIS INFORMATION IS NOT FOR NEW EMPLOYEES OF STORES THAT ARE ALREADY
UNIONIZED BY LOCAL 1167, SUCH AS VONS, RALPHS, STATER BROTHERS, ALBERTSON'S, OR RITE AID.