Become a Member - SEA/SEIU DEV

Join Us!

We are so excited to have you join us! By filling out the form below, together, we can make a real difference in the workplace. Once you have submitted the form, you’ll receive an automated email confirmation. After you receive that confirmation, you can create an account to access our Member Portal simply by clicking the “Member Portal” button in the top right corner of this page. There, you will find all of your Chapter information and your welcome packet explaining our benefits, resources, and ways you can be an active member. Start by completing the online form below or download a PDF Membership Form to print and mail to SEA.

To join our retiree chapter, Chapter 1, please scroll down to the bottom of the page and fill out the form.

Without members, there is no union.

Chapter 1 Membership Application

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Make Us Stronger Together

Continue helping contribute to a stronger voice in our communities.

Contact Information

Your Name(Required)

First Last

Your Address

Street Address City State ZIP Code

Your Personal Email Address(Required)

Email Address Confirm Email Address

By providing my phone number, I understand the State Employees’ Association, the Service Employees International Union, and its affiliates may use automated calling technologies and/or text messaging on my cellular phone on a periodic basis. SEIU will never charge for text message alerts. Carrier message and data rates may apply to such alerts. Text STOP to 787753 to stop receiving messages. Text HELP to 787753 for more information. By providing my email address, I agree to receive periodic e-mails.

Phone (Home)

Phone (Cell)

Additional Information

What Department or Chapter where you last worked?

Associate Member Name (If Any)

First Last

Associate Member Cell (If Different)

Associate Member Email (If Different)

Today's Date

Do You have a Seasonal Address?

Seasonal Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Do You Have a Printer?

MEMBERSHIP AUTHORIZATION: Yes! I want to join with my fellow retirees and become a member of SEA/SEIU Local 1984 (“SEA”) Chapter 1. I hereby request and voluntarily accept membership in SEA and I agree to abide by its Constitution and Bylaws and by the Service Employees International Union Constitution and Bylaws. By signing this card, I certify that I retired from State service as a member in good standing of the SEA. I also certify that dues in the amount of $6 are due annually to the Association and it is my responsibility to provide said payment to the Association.

Please return form and check to: SEA SEIU Local 1984 207 North Main Street Concord, NH 03301 For additional information, contact the Chapter 1 Membership Secretary: Avis Crane @ (603) 344-2912 — or — avislcrane@gmail.com

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