Please fill out the form below to if you would like to get more involved in your union.
[contact-form subject=”WEBSITE:ACTIVISM” to=”uaw4121@uaw4121.org”] [contact-field label=”Name” type=”name” required=”true” /] [contact-field label=”Email” type=”email” required=”true” /] [contact-field label=”Department” type=”text” /] [contact-field label=”Phone Number” type=”text” /] [contact-field label=”Please enter your work location and check the times when you are available. ” type=”text” /] [contact-field label=”Monday 9 AM – 1 PM” type=”checkbox” /] [contact-field label=”Monday 1 PM – 5 PM” type=”checkbox” /] [contact-field label=”Monday After 5 PM” type=”checkbox” /] [contact-field label=”Tuesday 9 AM – 1 PM” type=”checkbox” /] [contact-field label=”Tuesday 1 PM – 5 PM” type=”checkbox” /] [contact-field label=”Tuesday After 5 PM” type=”checkbox” /] [contact-field label=”Wednesday 9 AM – 1 PM” type=”checkbox” /] [contact-field label=”Wednesday 1 PM – 5 PM” type=”checkbox” /] [contact-field label=”Wednesday After 5 PM” type=”checkbox” /] [contact-field label=”Thursday 9 AM – 1 PM” type=”checkbox” /] [contact-field label=”Thursday 1 PM – 5 PM” type=”checkbox” /] [contact-field label=”Thursday After 5 PM” type=”checkbox” /] [contact-field label=”Friday 9 AM – 1 PM” type=”checkbox” /] [contact-field label=”Friday 1 PM – 5 PM” type=”checkbox” /] [contact-field label=”Friday After 5 PM” type=”checkbox” /] [/contact-form]