2024 Civil & Human Rights Conference Registration Form

Marriott at the Renaissance Center
Detroit, MI

June 9 - 12, 2024 		 

Please complete the form to register. If registering others, please use the delegate’s personal email address, not your own, when prompted. If you need to pay by check, please complete the form then mail your check, made payable to the USW Secretary-Treasurer. Include “2024 CHR Conference” in the memo line. The registration fee is $250 per delegate before May 15, 2024 and $275 per delegate after May 15.

Mailing Address:

USW
Attn: Julie Lidstone
60 Blvd.of the Allies
Pittsburgh, PA 15222



Language:

 
How will you attend?
*
Amount Due
     

Form Completed By

    
First Name: * Required
Last Name: * Required
Title:
Email: * Required
Phone Number with Area Code: * Required
     

Delegate:

    
First Name: * Required
Last Name: * Required
Pronouns (optional, to appear on badge):
Local Union Number: * Required
District Number: * Required
Employer: * Required
Address Line 1: * Required
Address Line 2:
City: * Required
State/Province: * Required
Zip/Postal Code: * Required
Email: * Required
Cell Phone: * Required
Membership ID:  
Shirt Size:
* Required
Veteran of Steel?: * Required
Translation needed; please list primary language  
Do you require American Sign Language (ASL) at the conference?: * Required
Comments/Questions:
  
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* = Required Field