Name:
Address:
Home Phone:
Work Phone:
Local Union:
International Union:
Position in Union:
Signature:
Fax:
E-Mail:

I want to be a member of CLUW and am enclosing a check ( payable to Oregon CLUW ) for:

National Dues: $25
Local Dues: $12
Total : $ 37

Send check and form to Oregon CLUW :
6320 N.E. 6th,Portland,Oregon 97211

THANK YOU! Kim Caldwell STATE VP