* 1. Please provide your name and contact information so that we can contact you if you win the 1-week Vacation Getaway:

* 2. Are you a current member of 9to5? Current members are those who have contributed any amount on or after May 1, 2014. To check the status of your membership email 9to5@9to5.org or call 404-222-0001. (NOTE: you MUST be a current dues-paying member to be eligible for the vacation drawing)

* 3. Do you have a personal story about being affected by the issues 9to5 works on--issues like unequal pay, paid family leave/sick days, discrimination, harassment, wage theft or low pay?

* 4. On which issue(s)?

* 5. Can a 9to5 staff organizer follow up with you about this story?