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.
Please tell us if any of the following pertain to you. *
Required
First Name *
Last Name *
Home Email Address
Street Address
Address 2 (Example: Apt #)
City
State
Zip Code
Home Phone Number
Cell Phone Number
I want to receive important text messages.
Text messages will be rare - but could be useful in certain situations.
Other Information
Please enter additional information that we may need.
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