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Title
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Please Select
Mr
Mrs
Ms
Miss
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Initials
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Preferred First Name
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Surname
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Address
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City/Town
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My E-Mail Address is
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Preferably your work e-mail address, but you may enter your home e-mail address if you wish.
Name of Employer
*
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Work Location/Section
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Occupation
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Normal Hours of Work Each Week
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Please Select
Up to 3.5 hours
> 3.5 & up to 7 hours
>7 & up to 10.5 hours
>10.5 & up to 20 hours
>20+ hours
Untitled
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I wish to pay my Union Suscription by:
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Having them deducted from my pay.
A single annual payment to the Union
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I was Introduced to the Union by:
Please enter the name into this field if this applies.
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