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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.
OK
1.
MEMBER NUMBER (leave blank if unsure)
*
2.
FIRST NAME
(Required.)
3.
MIDDLE NAME OR INITIAL
*
4.
LAST NAME
(Required.)
*
5.
DATE OF BIRTH (format: YYYY/MM/DD)
(Required.)
*
6.
Where do you work?
(Required.)
*
7.
What is your email address?
(Required.)
*
8.
Are you interested in hearing about any Union events or training opportunities?
(Required.)
Yes
No
*
9.
Are you a woman? (to be included on Women's Representative events and elections)
(Required.)
Yes
No
10.
What is your mailing address?
11.
Is there anything else you'd like to say?
Current Progress,
0 of 11 answered
