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CWA Canada Retirees Council

MEMBERSHIP APPLICATION

 

Name:_____________________________________________________________

Address:__________________________________________________________

City:_______________________________________________________________

Province:___________________________________________________________

Postal Code:________________________________________________________

Telephone:_________________________________________________________

Email:______________________________________________________________

Local Union:_________________________________________________________

Name of Spouse/Partner:______________________________________________

You can  print, fill it out, and mail  to:  CWA Canada Retirees Council, 301-2200 Prince of Wales Drive, , Ottawa, Ontario, K2E 6Z9

Retired media workers united for social change