Digital Media Representation Authorization Card Writers Guild of America, East, INC., AFL-CIO Question Title * 1. Name: Question Title * 2. Address: Question Title * 3. Today's Date: Question Title * 4. City: Question Title * 5. State: Question Title * 6. Zip Code: Question Title * 7. Cell Phone: Question Title * 8. Home Phone: Question Title * 9. Personal Email Address: Question Title * 10. Employer: Question Title * 11. Department/Section: Question Title * 12. Job Title: By clicking the submit card button below, I affirm that I am an employee of the above-named employer and that I want to be represented, for purposes of collective bargaining, by the Writers Guild of America, East, Inc. AFL-CIO Submit Card