COPE 378 Member Contact Information Update

Commitment to Privacy: We use the information you provide about yourself to update your union membership record. We use your home contact and email information to contact you with information related to bargaining and other union business. Should you have questions or concerns about these policies, please contact the office at 604-299-0378 or 1-800-665-6838.

Personal Information

First Name: *

Last Name: *

Home Email:

Home Phone:

Format: xxx-xxx-xxxx

Mobile Phone:

Format: xxx-xxx-xxxx

Street Address: *

Suite/Unit Number:

City: *

Province: *

If other, please specify:

Postal Code: *

Employer Information

Bargaining Unit: *

Name of your Employer

Status:

If other, please specify:

Job Title:

Employer ID Number:

Including an Employer provided identifier may assist in matching your update request to our existing records.

Work Location:

Please specify the address of your work location.

Work Phone:

Format: xxx-xxx-xxxx

Work Fax:

Format: xxx-xxx-xxxx

Work Email:

Comments:

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