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Bakery, Confectionery, Tobacco Workers and
Grain Millers International Union Local No. 19

BCTGM Local 19 Member Organizer Application

All (*) fields are required

Name*:

Email*:

Address*:

City*:

State*:

Zip Code*:

Home Phone*:

Work Phone:

Place of Employment:

Department & Classification:

 

Usual day(s) off:

SUN
MON
TUE
WED
THU
FRI
SAT

When are you willing to help with organizing?

 

Do you have prior commitments of time that should be considered when scheduling you to help or for regular meetings? If so, what days and/or times: