| Communications Workers of America, AFL-CIO LOCAL 1150 6 Harrison St. 4th Floor New York, NY 10013 (212) 925-6650 fax (212) 925-5737 e-mail: unity1150@aol.com Nominating Petition We the undersigned members in good standing of CWA Local 1150, nominate for the office of: ____________________________________________________________________________ Name___________________________________________________________________________ Home address___________________________________________ Room no._________________ Work Address_____________________________________________________________________ Social Security no._____________________________ Work Phone no.________________________ Home phone no.______________________________ Office_________________________________ Printed Name Signature 1. ____________________________ _______________________________ 2. ____________________________ _______________________________ 3. ____________________________ _______________________________ 4. ____________________________ _______________________________ 5. ____________________________ _______________________________ 6. ____________________________ _______________________________ 7. ____________________________ _______________________________ 8. ____________________________ _______________________________ 9. ____________________________ _______________________________ 10____________________________ _______________________________ 11____________________________ _______________________________ 12____________________________ _______________________________ 13____________________________ _______________________________ 14____________________________ _______________________________ 15____________________________ _______________________________ Signatures required: 25% of the office for Shop Steward, 12 signatures of members in good standing for President, Vice President, and Secretary Treasurer: 6 signatures for all other Executive Board positions. |
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