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You may choose to list your home address or your employer's address. Your information is NOT disseminated to anyone (unless required by law or subpoena). Under no circumstances will "*.gov" email addresses be approved. You must register with a personal email address.

First Name: *

Last Name: *

Address: *

City: * State/Province: * AB AK AL AR AS AZ BC CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MB MD ME MH MI MN MO MS MT NB NC ND NE NF NH NJ NM NS NT NU NV NY OH OK ON OR PA PE PR QC RI SC SD SK TN TX UT VA VI VT WA WI WV WY YT

Postal Code: * -

County:

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Phone:

Cell Phone: Format (no spaces or dashes): xxxxxxxxxx Select Your Cell Phone Provider: -Select One- ACS Wireless AIO Wireless Alaska Digital Alltel Alltel MMS Ameritech AT&T AT&T MMS Bell Mobility Bell Mobility Canada Boost Cellcom CellularOne CellularOne West Cellular South Centennial Wireless Cincinnati Bell Wireless Consumer Cellular Credo Mobile Cricket Edge Wireless Fido Canada FirstNet At&T FirstNet (Verizon) Gmail Google Project Fi Inland Cellular Koodo Canada Metro PCS MobileOne MTA Telecom MTS Mobility Nex-Tech Nextel Ntelos Rogers/Tbaytel Mobility PCS Wireless Qualcomm Qwest Republic Wireless Sasktel Mobility Simple Mobile Sprint MMS Sprint PCS StraightTalk Tbaytel Mobility/Rodgers Telus Mobility Thumb Cellular Ting T-Mobile T-Mobile Sidekick Total Wireless Tracfone Direct Union Wireless US Cellular Viaero Wireless Verizon Wireless Verizon Wireless MMS Virgin Mobile Virgin Mobile Canada Wind Mobile Xfinity Mobile Send Me Text Message Alerts: YES NO

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Are you an E-Board member or other special designation within your member union?:

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Password Strength: Weak Strong passwords contain 3 of the following items and at least 6 characters: - Uppercase Letters - Lowercase Letters - Numbers - Symbols

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