IRO Membership Survey - all respondents will be entered to win 1 of 3 gift cards valued at $100 each!

Industrial Retail Offshore Membership Survey

Information collected is used to ensure members receive important updates on elections and bargaining.

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* 1. MEMBER NUMBER (leave blank if unsure)

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* 2. FIRST NAME

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* 3. MIDDLE NAME OR INITIAL

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* 4. LAST NAME

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* 5. DATE OF BIRTH (format: YYYY/MM/DD)

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* 6. Where do you work?

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* 7. What is your email address?

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* 8. Are you interested in hearing about any Union events or training opportunities?

Yes

No

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* 9. Are you a woman? (to be included on Women's Representative events and elections)

Yes

No

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* 10. What is your mailing address?

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* 11. Is there anything else you'd like to say?