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* 1. First & Last Name

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* 2. Last 4 SSN

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* 3. Zipcode

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* 4. Email Address

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* 5. Mobile Phone Number

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* 6. I would like to help engage the Membership to fight National 'Right to Work' (Check all that apply)

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* 7. We want to share the stories of our Members to highlight the necessity of Unions to working people. If you would like your story to be told, please leave a brief statement describing how being a Member of a Union has impacted you and your family's life.

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* 8. Are you comfortable with us sharing your answer to Question 6 with the Membership?

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* 9. Please leave any comments or questions that you may have about National 'Right to Work' for less legislation and how it would impact our Membership. (We will use these questions to help guide our communications and clarify any misunderstandings)

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* 10. If you have any other questions or concerns that you would like to discuss, please leave them in the space provided below.

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