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Conservative Caucus Membership Form
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* Required
First Name
*
Your answer
Last Name
*
Your answer
What are your preferred gender pronouns?
*
They/Them/Theirs
She/Her/Hers
He/Him/His
No pronouns, I prefer my name
Other:
What is your preferred email address?
*
Your answer
What is your preferred phone number for text or calls?
*
Your answer
Select which mode of communication you would like to use to receive information about the Conservative Caucus?
*
Text
Call
Email
Required
Which Oregon AFSCME Local are you a part of?
Your answer
Who is your current employer?
*
Your answer
Are you currently a union steward?
Yes
No
Clear selection
Are you interested in becoming a union steward?
Yes
No
Clear selection
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This form was created inside of Oregon AFSCME Council 75.
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