IAMAW Veterans Services Committee

Full Name*

First, Middle, Last, and suffix: Sr., Jr.,III

Telephone Number*

A home or cell phone number.

Personal Email Address*

A private email address please

Address*

Address, City, State, and Zip Code

Which branch(s) of serviceare/did you serve?*

Please provide your current military status.*

District Lodge Number*

i.e. District Lodge #70

Local Lodge Number*

i.e. Local Lodge 639, 708, 774, 839, 1989, 2799, or other if you are not local.

Identify your Union title*

Local Lodge President, Community Service Committee Chairperson, etc.

Gender

Male or Female

Years of service in the military?

If you are currently active, the number of years to date.

Current IAMAW Status*

Please choose one.

IAM Card/Book Number*

If you do not have your IAM Card/Book number, please call the District Lodge 70 office to obtain your number at 316-522-1591.

Would you be willing to serve on a Veterans Service Committee?