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Name *
Union position (e.g., member, steward, delegate, president)(if any)
*
Union name and local number (if any)
*
Membership or position in any other labor body, or other relevant organization  (if any)
*
For non-labor endorsers: other occupation and/or organizational affiliation
City and State
*
Country
*
E-mail
*
Name of endorsing organization *
I am authorized to endorse on behalf of my labor body/organization
*
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