Membership Application HomeMembership Application Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastSex *MaleFemaleEmail *Phone Number *Employee ID *Employer *Position *Street Address *City *State *ZIP *International/Local Union StaffAnnual – $60.00Regular MembershipAnnual – $30.00Payment Method *OnlineBy MailPay by Mail Instructions Mail to: UFCW Minority Coalition 475 Market St Suite 307 Elmwood Park, NJ 07407 Make Payable to: UFCW Minority Coalition Questions? Email minoritycoalitionufcw@gmail.com Payment Info *Total Order Summary Item Quantity Qty Total There are no products selected. International/Local Union Staff – Annual1$60.00Regular Membership – Annual1$30.00SubtotalTotal$0.00 $0.00Submit
