Membership Information
Full Name
*
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SSN or Member Number
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Phone Number
*
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Phone Type *
Home
Work
Mobile
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Email Address
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Preferred Method of Contact *
Home Phone
Mobile Phone
Email
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PAC Fund (Please select one)
Deduct $_________ per month from my vacation fund and send it to the UA Local 290 Political Action Committee.
Enter Dollar
*
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Or
Cancel my PAC fund contributions.
Thank You, we will be in touch with any further questions!