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NRV DSA Member Interest Form
Want to join the NRV DSA? Already a DSA member and want to get involved in our chapter? Contact us!
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* Indicates required question
First Name
*
Your answer
Last Name
Your answer
Email Address.
If you are a DSA member please enter the email you used to sign up.
*
Your answer
Are you currently a dues paying DSA member?
*
Yes
Former Member/Dues Lapsed
No
County of Residence
*
Floyd
Giles
Montgomery
Pulaski
Radford
Roanoke/Salem
Wythe
Other:
Are you currently or formerly a union member?
*
Yes
Former Union Member
No
If you answered 'Yes' or 'Former Union Member' to the previous question, please list any locals you have been a member of.
Your answer
Please let us know what you are interested in working on and how we can get you involved!
Your answer
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