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Electronic Record Consent & Social Security Number Data Disclosure

Please read this Electronic Record Consent and Social Security Number (SSN) Privacy Disclosure carefully before submitting your application. By checking the agreement box and signing this application, you give your explicit consent to all terms outlined below.

  1. Consent to Electronic Records and Signatures
    By proceeding, you explicitly consent to use electronic records and to execute your signature electronically for this membership application. You agree that your electronic signature holds the full legal weight and binding authority of a traditional handwritten ink signature.

     
  2. Purpose and Security of SSN Collection
    Your Social Security Number (SSN) is collected solely for official identity confirmation, internal verification, and mandatory membership screening background protocols. To safeguard this highly sensitive data, your input is protected via industry-standard 256-bit SSL encryption in transit and AES-256 encryption at rest.

     
  3. Right to Withdraw Consent
    You maintain the absolute right to withdraw your consent to receive electronic records and transact electronically at any time prior to submitting this form. To withdraw consent, simply close this browser window and do not submit the form. Please note that if you choose to withdraw your consent before completion, your digital application session will be terminated.

     
  4. Transmission of Executed Materials
    Immediately upon successful submission of this form, a formal confirmation of your electronic transaction consent and a fully executed digital copy of your new Membership Card will be automatically transmitted to the email address you provide in this application. Alternatively, these finalized point-in-time documents will be made immediately available for secure on-screen download.

     
  5. Right to Request Paper Copies
    You are entitled to receive a physical paper copy of your finalized Membership Card. After your digital enrollment is complete, you may at any time submit a formal request to our administrative office to have a standard paper copy of your card printed and mailed to your physical address free of charge.





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Teamsters Local 90
2425 Delaware Ave
Des Moines, IA 50317
  515-262-3194

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