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.