CSEA Membership Contact Information
Please fill out this form below. This will allow us to better communicate with you. The union takes your personal information seriously and will not sell or distribute your information to any third party vendor or company. First and last name fields are mandatory to ensure you are a member.
* Required
Please tell us if any of the following pertain to you.
*
I changed my email address.
I moved and have a new address.
I changed my name.
I no longer have a home phone.
I added or changed my cell phone number.
I haven't received the CSEA News and just want to verify my information.
Other:
Required
First Name
*
Your answer
Last Name
*
Your answer
Home Email Address
Your answer
Street Address
Your answer
Address 2 (Example: Apt #)
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Home Phone Number
Your answer
Cell Phone Number
Your answer
I want to receive important text messages.
Text messages will be rare - but could be useful in certain situations.
Yes
No
Other Information
Please enter additional information that we may need.
Your answer
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