Phone Bank and Labor Walk Voucher Form

Name (required)

Mailing Adress

City

State

Zip code

Phone Number

Email (required)

Please check here if your address has changed.
YesNo

Are you a member of HPAE? (required)

YesNo

If yes, which HPAE local/facility?

Please select which activity you participated in (required):

Phone bank $75Labor walk $75

If you selected Labor Walk, select the location you walked out of:

Date (required)

Disclaimer: You may be asked to complete a 1099 tax form if you exceed $600 in earnings in this calendar year.

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