Contact - Local 163 Organizer

Do you want to know more about joining the UAW?

If so, we need some basic information so we can provide the best possible support and assistance to you and your co-workers.

ALL INFORMATION IS CONFIDENTIAL!

In order to respond all fields are required except those marked optional.

An organizer will contact you as soon as possible. Thanks for your interest!

First

Last

Name of company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Phone

Describe all the Products & Services provided

Please be specific as possible with this!

Email

Confirm Email

Who are the Company's customers?

What shift do you work?

Number of Employees

If you are not sure, please give your best estimation.

Best time to reach you

Are there any Temporary Employees or hired through a staffing agency?

Yes

No

Contact Instructions

Let us know any special instructions for when we contact you