International Worker Justice Campaign

UE Local 150

PO Box 3857 Chapel Hill, NC 27515

Phone: (919) 593-7558

Email: abinta@nc.rr.com

Individual Endorsement Form

I support the right of public sector workers in North Carolina and throughout the South to have collective bargaining rights and endorse the campaign to establish these rights. Please list my name and organization on the IWJC List of Endorsers. (Organizations will be listed for identification purposes only).

Date ______________________________

Name ______________________________________________________

Organization _________________________________________________

Email ______________________________________________________

Mailing Address ______________________________________________

______________________________________________

Phone:

Work ________________________________

Cell ________________________________

Home ________________________________