This form is for Legacy Qwest Outside
Technicians members only as
part of our 2012 bargaining.
We are having problems with members
NOT putting in their entire street, city, state and zip code.
Please type in your entire home address!!
(If you enter your email, once submitted, a copy of the answers will be sent to the
email address you provided.)
Each Member will be
sent 5 patches for their uniform shirts by the Union vendor.
Note: The Vendor is not allowed to use the member's
information for any other purpose.
Orders will be reviewed at this office to
validate membership status and then sent to the vender to be filled/mailed.