Retired Member Organizing Volunteer

To download a copy of the form, click the graphic image or click here: Retired-Member-Org-Volunteer-Form

This is a multi-page form. When you have completed each page, click the "Next" button to continue. Once you have completed the entire form you must click the "Submit" button on the last page to send. You can check the progress in the above progress bar.
YES!
Yes, I would like to volunteer for Organizing in the IAM.
Name*
First Last
Select Your Country*
Address
Street Address City State ZIP Code
Address
Street Address City Province Postal Code
Home Phone
Mobile Phone
Email*

Submission Confirmation
I understand that I am providing this information for the purposes of volunteering to participate in IAM Organizing activities and this information will not be used for purposes other than to assist the IAM Organizing department.
Date*
Date Format: MM slash DD slash YYYY
Signature*
To affix your signature, please type your entire name.
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Comments
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YES!