Mid-Valley IWW Membership Sign-Up

1

Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

Street Address, City, State, Zip Code* This field is required.

4

Occupation and Workplace* This field is required.

5

How involved do you expect to be? What kind of activities would you like to participate in?

6

How did you hear about the IWW?

7

Please describe any skills that you have.

8

Have you been involved in other organizations? If so,which ones and what kind of activities did you get involved in as a member?

9

Do you need any accommodations for meetings or events?

10

Select Dues Rate* This field is required.

$1 (Hardship)

$6 (Sub-Minimum, Income less than $1,100 monthly)

$11 (Minimum, $1,100-$2,200)

$22 (Regular, $2,200-$3,300)

$33 (Maximum, Income more than $3,300 monthly)

11

Which of our Committee(s) are you interested in joining?* This field is required.

Media/Communications

Membership

Social

Organizing/Training