DFT/DFP/DAEOE Follow-Up Form

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In order to best answer any questions or assist with any issues you are having, please fill out this follow-up form and an organizer will give you a call or email back!

First Name *

Last Name *

Select your Local *

Select your Worksite/School *

Option 1

Clear selection

Please select your role *

Building Rep

Union Committee member

Member

Non-Member

Required

Personal Email

Phone Number *

Preferred Contact Method *

I prefer a phone call

I prefer an email

If you prefer a phone call, what is time is best for a call back?

Weekday mornings (9 AM-11 AM)

Weekday afternoons (1 PM-4 PM)

Weekday evenings (5 PM- 8 PM)

Other:

Reason for follow up *

I want to become a dues paying member!

Billing/Dues Issue

Building/Contract Concern

Other:

Required

Please share anything that will help prepare for our call *

Submit

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