We know there are many people everywhere who are interested in having workplace fairness, decent wages and benefits or in other words -- a union at their work location. If this is you, please fill out the form below and submit it to us. THIS INFORMATION WILL BE KEPT CONFIDENTIAL. We will be in contact with you as soon as possible.
| First name | |
| Last name | |
| Street | |
| Apt | |
| City | |
| State | |
| Zip | |
| Work Phone | |
| Home Phone | |
| FAX | |
| Employer |
Briefly tell us why you are interested in organizing, how many are in your work group, who the employer is, the number of non-supervisory employees, and any pertinent information that would help us help you:
There are others where I work that are also interested in organizing a union.
I have been a union member before.
There are others where I work who have been union members.
Last revised: February 26, 2003
