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1. What is your first name?

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2. What is your last name?

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3. What is the best email to reach you at?

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4. What is the best mobile phone number to reach you at?

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5. Would you like to receive bargaining updates from the negotiating team?

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6. Would you like to receive bargaining updates from the negotiating team?

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7. Which Local do you belong to?

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8. What is your Employer/Plant?

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9. How important are the following issues for you? (Please rank priorities below 1 = most important, 2 = second most important, etc.)

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10. What Issues not reflected are a high priority to you?

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