UEA - Membership Application

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:: What We Do ::

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Membership Application

Click here for a printable version or fill out the online application below.

Company
Principal Contact
Title
Street Address
Mailing Address
City
State
Zip
Telephone
Fax
Email
Website
Type of Business

Do you wish to receive your dues statements

Quarterly?

Annually?

Total Number of Employees

List others to receive mailings such as news bulletins, training flyers, etc:

Name
Title
Name
Title

Union?

Yes

If yes, Union Name

Monthly dues range from a minimum of $60 to a maximum of $475. For details on membership benefits your company will receive and how much it will cost, please call 503-595-2095.