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ORGANIZING DEPARTMENT
QUESTIONNAIRE
Full Name:

E-mail Address:

Street Address or PO Box:

City, State and Zip Code:

Home Phone:

Cell Phone:

Years of experience in the electrical trade:

Do you have a New Mexico electrical license?

Are you currently working?

If so, what field are you in?

Please tell us a little about yourself and your
experiences in the electrical industry.
Portion of mural by Bonnie Neel

ORGANIZING STAFF:

Brian Condit
Cell (505) 350-0975
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Copyright © 2001 - 2011 International Brotherhood of Electrical Workers Local Union 611
Business Manager/ Financial Secretary Chris Frentzel
Telephone: (505) 343-0611 or (800) 287-2545