DELEGATE FORM

According to the Constitution of the North Shore AFL-CIO Federation of Labor, each local union is allowed the following number of delegates:

50 members or less	- 2 delegates
51-100 members	- 3 delegates
101-200 members	- 4 delegates
201-400 members	- 5 delegates
401-700 members	- 6 delegates
701-1100 members	- 7 delegates

One additional delegate is permitted for each additional 500 members or any fraction thereof above 1100.

Per capita is $0.50 per member/per month – after initial affiliation, local will be billed.

Please fill out the following form with the names/addresses of your delegates and return it to the North Shore AFL-CIO as soon as possible.

Name

Phone

Address

City/Town

ZIP/Postal Code

Name

Phone

Address

City/Town

ZIP/Postal Code

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Phone

Address

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ZIP/Postal Code

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Phone

Address

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ZIP/Postal Code

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Address

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Phone

Address

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Name

Phone

Address

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Name

Phone

Address

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Name

Phone

Address

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ZIP/Postal Code