When

Monday, April 3, 2023 from 6:00 PM to 7:30 PM EDT
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Where

VIRTUAL

Contact

CWA Local 1180
CWA Local 1180
212.226.6565

Education Benefits Webinar

* Required information

Personal Information

* First Name:
* Last Name:
This MUST be a PERSONAL EMAIL as we cannot send the webinar link to a work email address.
* Email Address:
* Confirm Email Address:
*
Is this the personal email address you would like Local 1180 to keep on file for you to receive all future correspondence, including from the Benefits Office?
- Yes
- No
If no, what is the personal email address you want Local 1180 to keep on file for all correspondence?
* Cell Phone:

Are You a Dues-Paying Local 1180 Member

Are you a dues-paying member of Local 1180?
- Yes
- No
Please enter your Member ID number, which can be found on your prescription card (Ex: CWA1180123456) or the last four digits of your Social Security number.

Business Information

* Job Title:
* Department:
* Agency
* Work Phone Number
* Work Email Address

*

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