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.