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IAMAW Local Lodge 1255 |
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First Name:____________________________ Last Name:_________________________ Address 1:_______________________________________________________________________
City: ______________________________________ State: ________Zip:_____________
Phone: ( ______ ) _______ - _________ FAX: ( ______ ) _______ - _________
E-mail___________________________________________________________
Employer:________________________________________________________
Work Address 1: _________________________________________________________________
City: _____________________________ State: _______ ZIP:______________
To send this form to IAM Local 1255, please mail it to:
IAMAW Local Lodge 1255 P.O. Box 30364 Amarillo, Texas 79120
or copy and paste this form in an e-mail and send the information to:
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