Montana Carpenters Local 82 300 15th Street South, Suite 1 Great Falls, MT 59405 Office: 406-453-1301 Fax: 406-453-5230 Toll-free 1-855-290-6276

82@northwestcarpenters.org Montana Carpenters Local 82 www.mtcarpenters82.com

Welcome to Carpenters Local Union #82

As a new member we need the attached paperwork filled out and returned to us with a check for three (3)

months dues.

Monthly dues = $20.00 x 3 = $60.00

Dues : As a new member we require 3 months dues up front. Your monthly membership dues are

$20.00 per month. In accordance with Article 5, section 5 of the UBC Constitution, your dues are due

at the beginning f each month. You must be in good standing to be eligible for dispatch. We accept

cash, check or money orders and soon will be accepting credit and debit cards.

If you have any questions please contact the Service Representative in your area from the list below. If you

have any questions about your dues payments, please contact Julie in the Great Falls office at 406-453-1301.

SERVICE REPRESENTATIVES:

NAME PHONE AREAS

MARIO MARTINEZ 406-403-3744 NORTH CENTRAL MONTANA Lead Representative (GREAT FALLS, HELENA, HI-LINE, & LEWISTOWN) JOEL WORTH 406-438-7804 SOUTH CENTRAL MONTANA (BUTTE, ANACONDA, DILLON, BOZEMAN) RILEY MCCAULEY 406-200-4940 EASTERN MONTANA (BILLINGS, COLSTRIP, FORSYTH, MILES CITY) DEREK HITT 406-880-7194 WESTERN MONTANA (MISSOULA, HAMILTON & KALISPELL)

Thank you and welcome.

Official UBC application 08/2003

United Brotherhood of Carpenters and Joiners of America Membership Application

1) Local/Affiliate: 82 2) Social Security Number/SIN: 3) Last Name Sr,Jr First Name M Nickname

4) Address City State/Province Zip/Postal Country 5) 6) / / Telephone Date of Birth

7) Classification: Applicant Pre-apprentice Apprentice Member

8) Craft: Carpenter Diver Federal Government Industrial Lather Local Government

Millwright Piledriver Resilient Floorlayer State Government

9 Cellphone Beeper Fax

Other phone E-Mail

Obligation

I do, of my own free will and accord, solemnly and sincerely promise, on my sacred honor, that I will never reveal by word or deed any of the business of this United Brotherhood unless legally authorized to do so. I promise to abide by the Constitution and Laws, and the will of the majority, observe the By-Laws and Trade Rules established by Local Unions and Councils affiliated with the Brotherhood and that I will use every honorable means to procure employment for brother and sister members. I agree that I will ask for the Union label and purchase union-made goods and employ only union labor, when same can be had. And I further agree that if, at any time, it should be discovered that I have made misstatements as to my qualifications for membership – I shall be forever debarred from membership and donations in this order. I pledge myself to be obedient to authority, orderly in the meetings, respectful in words and actions and charitable in judgement of my brother and sister members. To all of this I promise and pledge my most sacred word and honor to observe and keep, and the same to bind to me, as long as I remain a member of this Brotherhood. And I further affirm and declare that I am not now affiliated with, and never will join or give aid, comfort or support to any organization that tries to disrupt any Local Union, District Council, Regional Council, State or Provincial Council or the International Body of the United Brotherhood of Carpenters and Joiners of America. Being admitted to membership, I agree to be bound by the above Obligation of the United Brotherhood of Carpenters and Joiners of America, which I have read. I further agree that if it is found at any time that I have made false statements of any kind on this application, that my membership shall be declared void and all monies paid by me shall be forfeited. Signature of Applicant Date This application must be signed and dated by the applicant after being fully completed, then sent promptly to the General Office by the Financial Secretary. For Office Use Only: Initiation Date Initiation Fee Paid Tax Schedule Date to Journeyman Supplemental Dues Yes No Authorized Collective Bargaining Yes No Prior Member Yes No If Yes Prior Local CLIC Donation Yes No (Voluntary) Political Affiliation

Pacific Northwest Regional Council of CarpentersCARPENTER READY-TO-WORK LIST QUESTIONNAIRE

For Exterior/Interior Systems (EIS) CarpentersInterior Systems Central Dispatch: 1-800-953-6444 or 253-945-8830

Fax: 253-945-8875Send to: Dispatch, PNWRCC, 25120 Pacific Hwy S, Ste 200, Kent, WA 98032

PLEASE PRINT LEGIBLY!

Check 4 here. I am:[ ] Journeyman carpenter[ ] Apprentice carpenter Term[ ] Utility Worker Level

Name UBCID# UBCLocal#

Address DateofBirth

City State Zip Phone#

Email Phone#

Ethnicity(Optional): []Asian []HispanicorLatino []White []BlackorAfricanAmerican[]NativeAmericanorAlaskaNative []Other

I (print name), assign to the Pacific Northwest Regional Council of Carpenters, from my earnings, a sum equal to the Union’s membership dues, assessments, and initiation fee (the Union will notify my Employer of the current amount). I authorize and direct my Employer to deduct such sum and remit the money to the Union monthly. This assignment is irrevocable for one (1) year from this date or until the termination of the Labor Agreement, whichever occurs first. This assignment shall be renewed automatically, for succes-sive 12 month periods, unless the Union and my employer receive my written notice of termination of this assignment not more than twenty (20) days and not less than ten (10) days prior to renewal of the assignment. This authorization is effective regardless of my status as a member, non-member, or “financial core” payer and applies regardless of any future resignation of membership on my part.

I hereby authorize the UNITED BROTHERHOOD OF CARPENTERS AND JOINERS OF AMERICA to act as my collective bargaining agent in dealing with my employer in regard to wages, hours, and other conditions of employment. All previous authorizations made by me are revoked.

Signature Date1.2011/sek/opeiu8alfcio

YOU ARE SKILLED/QUALIFIED TO ACCEPT WORK IN THESE SKILLS: (Mark with a check 4 below.)

[ ] Area 1 [ ] Area 11[ ] Area 2 [ ] Area 12[ ] Area 3 [ ] Area 13[ ] Area 4 [ ] Area 14[ ] Area 5 [ ] Area 15[ ] Area 6 [ ] Area 16[ ] Area 7 [ ] Area 17[ ] Area 8 [ ] Area 18[ ] Area 9 [ ] Area 19[ ] Area 10 [ ] Area 20YOU ARE TRAINED IN THE FOLLOWING: (Mark with a check 4 below.)

Do you participate in the Western WA 401A Pension Plan? Check 4[ ] YES [ ] NO

If yes, please check 4 the appropriate amount:[ ] $1.00 [ ] $2.00[ ] $3.00 [ ] $4.00

Check 4 here if you ONLY work in one of the following: [ ] Scaffolding ONLY (115) [ ] Residential ONLY (108)

Check 4 the areas where youare willing to work. Refer to the enclosed area map.

(Please include area code.)

(Please include area code.)

[ ] “Best Practices” Class (107)[ ] Boom Truck Cert (164)[ ] Certified Welder (113)[ ] Cleanroom Class (176)[ ] Door Hardware (119)[ ] Firestop Class (102)[ ] First Aid / CPR Cert (121)[ ] Foreman A Class (139)[ ] Forklift Industrial (122)

[ ] Acoustical/Suspended Ceiling (230)[ ] Carpet Floors (205)[ ] Cleanroom (176)[ ] Door Hardware (129)[ ] Drywall/Sheetrock Hanger (204)[ ] Drywall/Sheetrock Taper (209)[ ] Hand Taper (316)[ ] Hand Texture (318)[ ] Foreman (114)

[ ] Forklift Rough Terrain (103)[ ] HAZMAT (100)[ ] Light Gauge Weld (221)[ ] OSHA 10 (208)[ ] OSHA 16 (210)[ ] OSHA 30 (212)[ ] OSHA 7600 (321)[ ] Powder Actuated Tool (325)[ ] Rigging (123)

[ ] Insulation (202)[ ] Laminate Wood Flooring (213)[ ] Lather (217)[ ] Layout from Prints (219)[ ] Metal Stud Framing (206)[ ] Residential (125)[ ] Resilient Flooring(231)[ ] Solid Wood Flooring (182)[ ] Texture Spray (329)

[ ] Scaffold Erector (110)[ ] Scaffold User (124)[ ] Solid Surface Installer Class (182)[ ] Steward (112)[ ] Stick Cert Weld (156)[ ] STP Cert (201)[ ] TIG Cert Weld (155)[ ] WABO Cert (192)[ ] Wire Cert Weld (154)

[ ] Tool/Mech Taper (331)[ ] Total Station (133)[ ] Transit Theodolite (224)[ ] Welder (127)[ ] Will work with Heights (116)

Pacific Northwest Regional Council of CarpentersCARPENTER READY-TO-WORK LIST QUESTIONNAIRE

Carpenter Central Dispatch: 1-800-953-6444 or 253-945-8830 Fax: 253-945-8875

Send to: Dispatch, PNWRCC, 25120 Pacific Hwy S, Ste 200, Kent, WA 98032

PLEASE PRINT LEGIBLY!

Check 4 here. I am a:[ ] Journeyman carpenter[ ] Apprentice carpenter Term[ ] Scaffold Tender Level

Name UBCID# UBCLocal#

Address DateofBirth

City State Zip Phone#

Email Phone#

Ethnicity(Optional): []Asian []HispanicorLatino []White []BlackorAfricanAmerican[]NativeAmericanorAlaskaNative []Other

I (print name), assign to the Pacific Northwest Regional Council of Carpenters, from my earnings, a sum equal to the Union’s membership dues, assessments, and initiation fee (the Union will notify my Employer of the current amount). I authorize and direct my Employer to deduct such sum and remit the money to the Union monthly. This assignment is irrevocable for one (1) year from this date or until the termination of the Labor Agreement, whichever occurs first. This assignment shall be renewed automatically, for succes-sive 12 month periods, unless the Union and my employer receive my written notice of termination of this assignment not more than twenty (20) days and not less than ten (10) days prior to renewal of the assignment. This authorization is effective regardless of my status as a member, non-member, or “financial core” payer and applies regardless of any future resignation of membership on my part.

I hereby authorize the UNITED BROTHERHOOD OF CARPENTERS AND JOINERS OF AMERICA to act as my collective bargaining agent in dealing with my employer in regard to wages, hours, and other conditions of employment. All previous authorizations made by me are revoked.

Signature Date3.2011/sek/opeiu8alfcio

YOU ARE SKILLED/QUALIFIED TO ACCEPT WORK IN THESE SKILLS: (Mark with a check 4 below.)

[ ] Bridges/Highway (105) [ ] Foreman (114) [ ] Scaffold (111)[ ] Bridge Shoring (198) [ ] Forms General Concrete (104) [ ] Siding (188)[ ] Building Shoring (199) [ ] Forms Heavy Concrete (126) [ ] Solid Wood Flooring (182)[ ] Cabinet Installation (128) [ ] Heavy Timber Framing (189) [ ] Store Fixtures (186)[ ] Carpet Floors (205) [ ] Laminate Wood Flooring (213) [ ] Total Station (133)[ ] Cleanroom (176) [ ] Layout from Prints (219) [ ] Welder (127)[ ] Computer Floors (185) [ ] Metal Siding/Roofing (223) [ ] Will work with Heights (116)[ ] Door Hardware (129) [ ] Residential (125) [ ] Wood Framing (106)[ ] Finish Carpenter (218) [ ] Roof Framing (187)

[ ] Area 1 [ ] Area 11[ ] Area 2 [ ] Area 12[ ] Area 3 [ ] Area 13[ ] Area 4 [ ] Area 14[ ] Area 5 [ ] Area 15[ ] Area 6 [ ] Area 16[ ] Area 7 [ ] Area 17[ ] Area 8 [ ] Area 18[ ] Area 9 [ ] Area 19[ ] Area 10 [ ] Area 20YOU ARE TRAINED IN THE FOLLOWING: (Mark with a check 4 below.)

Do you participate in the Western WA 401A Pension Plan? Check 4[ ] YES [ ] NO

If yes, please check 4 the appropriate amount:[ ] $1.00 [ ] $2.00[ ] $3.00 [ ] $4.00

Check 4 here if you ONLY work in one of the following: [ ] Scaffolding ONLY (115) [ ] Residential ONLY (108)

Check 4 the areas where youare willing to work. Refer to the enclosed area map.

(Please include area code.)

(Please include area code.)

[ ] Boom Truck Cert (164)[ ] Certified Welder (113)[ ] Cleanroom Class (176)[ ] Door Hardware (129)[ ] Firestop Class (102)[ ] First Aid / CPR Cert (121)[ ] Foreman A Class (139)[ ] Forklift Industrial (122)[ ] Forklift Rough Terrain (103)

[ ] HAZMAT (100)[ ] Light Gauge (221)[ ] OSHA 10 (208)[ ] OSHA 30 (212)[ ] OSHA 7600 (321)[ ] Powder Actuated Tool (325)[ ] Rebar Stick Weld (227)[ ] Rebar Wire Weld (229)[ ] Rigging (123)

[ ] Scaffold Erector (110)[ ] Scaffold User (124)[ ] Solid Surface Installer Class (135)[ ] Steward (112)[ ] Stick Cert Weld (156)[ ] STP Cert (201)[ ] TIG Cert Weld (155)[ ] WABO Cert (192)[ ] Wire Cert Weld (154)

109

5

611

13

16

17

19

1815

14

128

7

43

2

1

20

CARPENTERS & EXTERIOR/INTERIOR

SYSTEMS CARPENTERSDispatch Areas

–Pacific Northwest

Regional Council ofCarpenters

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DISPATCH AREAS FOR CARPENTERS & EXTERIOR INTERIOR SYSTEMS CARPENTERS

1 WWANORTH 11 ORNORTHEAST(ONE)2 WWACENTRAL 12 ORSOUTHEAST(OSE)3 WWASOUTH 13 IDSOUTHEAST(IDSE)4 WWAWEST 14 IDSOUTHWEST(IDSW)5 SOUTHWESTWA 15 MTNORTHWEST6 ORNORTHWEST(ONW) 16 MTSOUTHWEST7 ORCENTRAL(OC) 17 MTCENTRAL8 ORSOUTHWEST(OSW) 18 MTNORTHEAST9 CENTRALWA 19 MTSOUTHEAST10 EASTERNWA 20 THEWHOLESTATEOFWYOMINGREVISED 6/2011 / SEK / opeiu8aflcio

AREA 1WWA - North

SKAGIT • SNOHOMISHWHATCOM • ISLAND • SAN JUAN

AREA 2WWA - Central

KING

AREA 3WWA - South

PIERCE • THURSTON • LEWIS

AREA 4WWA - West

CLALLUM • JEFFERSON • KITSAPMASON • GRAYS HARBOR

PACIFIC (North)

AREA 5SW WA

WAHKIAKUM • COWLITZ • CLARKSKAMANIA • KLICKITAT

PACIFIC (South)

AREA 6OR - NW

CLATSOP • COLUMBIA • TILLAMOOKYAMHILL • WASHINGTON

CLACKAMAS • MULTNOMAH

AREA 7OR - Central (OC)

POLK • MARION • LINCOLNBENTON • LINN • LANE

AREA 8OR - SW (OSW)

COOS • CURRY • DOUGLASJOSEPHINE • JACKSON • KLAMATH

AREA 9Central WA

CHELAN • DOUGLAS • GRANTKITTITAS • OKANOGAN • YAKIMA

AREA 10Eastern WA - Northern ID (EWA)

ADAMS • ASOTIN • BENTON • FERRYFRANKLIN • GARFIELD • LINCOLN

PEND ORIELLE • SPOKANE • STEVENSWALLA WALLA • WHITMAN

BOUNDARY • BONNER • KOOTENAIBENEWAH • SHOSHONE • LATAH • LEWIS

NEZ PERCE • CLEARWATER • IDAHO

AREA 16MT - Southwest

RAVALLI • GRANITE • BEAVERHEADDEER LODGE • SILVER BOW • MADISONGALLATIN • JEFFERSON • BROADWATER

AREA 17MT - Central

LIBERTY • CHOTEAU • HILL • BLAINE • CASCADE JUDITH BASIN • FERGUS • MEAGHERWHEATLAND • PARK • SWEETGRASS

GOLDEN VALLEY • STILLWATER • CARBON

AREA 18MT - Northeast

PHILLIPS • VALLEY • GARFIELDMcCONE • PRAIRIE • WIBAUX

DAWSON • RICHLAND • ROOSEVELTDANIELS • SHERIDAN • PETROLEUM

AREA 19MT - Southeast

MUSSELSHELL • YELLOWSTONEBIG HORN • TREASURE • ROSEBUD

POWDER RIVER • CUSTERCARTER • FALLON

AREA 20STATE of WYOMING

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AREA 11OR - NE

HOOD RIVER • WASCO • SHERMANGILLIAM • WHEELER • MORROW • UMATILLA

GRANT • UNION • BAKER • WALLOWADESCHUTES • CROOK • JEFFERSON

AREA 12OR - SE

HARNEY • MALHEUR • LAKE

AREA 13ID - Southeast

CLARK • BUTTE • JEFFERSON • FREMONTMADISON • TETON • BONNEVILLE • POWERCASSIA • ONEIDA • BANNOCK • FRANKLIN

BEAR LAKE • CARIBOU • BINGHAM

AREA 14ID - Southwest

ADAMS • VALLEY • LEMHI • MINIDOKA • GEMWASHINGTON • PAYETTE • BOISE • CUSTER • ADACANYON • ELMORE • OWYHEE • CAMAS • BLAINE

GOODING • LINCOLN • JEROME • TWIN FALLS

AREA 15MT - Northwest

LINCOLN • SANDERS • MINERALMISSOULA • LAKE • FLATHEADPOWELL • LEWIS AND CLARK

TETON • PONDERA • TOOLE • GLACIER

VACATION DEDUCTION AUTHORIZATION

NAME:

ADDRESS:

CITY: STATE: ZIP:

PHONE:

SS#:

DATE OF BIRTH:

I, _______________________________________, wish to participate in the Montana Vacation Savings Plan

paid thru my employer. This plan was established to provide members with vacation savings benefits. This

plan covers all employees of an employer who contributes to the Trust under the terms of a collective bar-

gaining agreement, provided contributions are being made to the Trust on the employee’s behalf. You may

withdrawal monies from your account twice (2x) per year; June 1st and December 1st based on your account

balance as of April 20th for June payment and October 20th for December payment. YOU MUST FILL OUT A

WITHDRAWAL FORM AND SUBMIT IT TO THE PLAN’S OFFICE ON OR BEFORE May 1st for June 1st payment

and November 1st for December payment. Withdrawal forms are available on our website:

www.mtcarpenters82.com, our Facebook page and at our Union Hall in Great Falls.

SIGNATURE DATE

**IF YOU WANT TO HAVE THE VACATION PLAN PAY YOUR MONTHLY DUES: (PLEASE NOTE THEY ONLY PAY TWO TIMES PER YEAR ...JUNE &

DECEMBER, YOU ARE REQUIRED TO KEEP YOUR DUES CURRENT UNTIL THE PLAN PAYS).

By signing this paragraph I, _______________________________________, authorize the MONTANA EM-

PLOYEES VACATION SAVINGS PLAN to use my vacation deduction to pay my monthly dues with Carpenters

Local #82, 300 15th Street South Suite #1, Great Falls, MT 59405. This is effective for one (1) year from the

date of my signature and WILL START ON THE NEXT WITHDRAWAL DATES OF EITHER April 1st or November

1st, whichever come first and shall renew automatically thereafter unless I revoke this authorization in

writing between April 1st and April 15th of any year.

SIGNATURE DATE

Montana Carpenters Local 82

300 15th Street South, Suite 1

Great Falls, MT 59405

NMO TO BE HELD QUARTERLY:

BILLINGS: MARCH - JUNE - SEPTEMBER - -DECEMBER

BOZEMAN: FEBRUARY - MAY - AUGUST - NOVEMBER

BUTTE: FEBRUARY - MAY - AUGUST - NOVEMBER

GREAT FALLS: JANUARY - APRIL - JUNE - OCTOBER

HELENA: FEBRUARY - MAY - AUGUST - NOVEMBER

MISSOULA: JANUARY - APRIL - JUNE - OCTOBER