|
DISTRICT 9 ORGANIZING LEAD |
|
First Name:_________________________ Last Name:_________________________________ Address 1:____________________________________________________________________ Address 2:____________________________________________________________________ City: ______________________________________ State: ________Zip:_____________ Phone: ( ______ ) _______ - _________ FAX: ( ______ ) _______ - _________ E-mail___________________________________________________________ Employer:________________________________________________________ Work Address 1: _______________________________________________________________ Work Address 2: _______________________________________________________________ City: _____________________________ State: _______ ZIP:______________ Product Manufactured: ___________________________________________________________ Number of Employees: __________ Number of Shifts: __________ To send this form to IAM District 9 please mail or fax to:
Main Office
Our Telephone You may
print this form and fax it to: or E-Mail
us at |