Please note: If you have already received a mask from CEIU Ontario (with our logo), please do not order a second one.
We only have enough masks to provide one per member.

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* 1. First Name:

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* 2. Last Name:

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* 3. Please select one of the following: 

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* 4. Please enter your home address,  as we do not deliver to your work address.

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* 5. Which department do you work for?

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* 6. Of which local are you a member?
(If you do not know which local you are a part of - please contact Eric Mallet at oninfo@ceiu-seic.ca. He will assist in finding your local number.)

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