Empire State Pride Agenda

I want to get involved with Pride in Our Union

First Name:

Middle Initial:

Last Name:

Union:

Local:

Member:

Staff:

Union Leader:

Business Name:

Work Address:

City:

State:

Zip:

Work Phone:

Home Address:

City:

State:

Zip:

Home Phone:

Email:

Please check all that apply:

	I want to learn more about the Pride in Our Union Program
	I want to join the Pride in Our Union Committee (member)
	I want to join the Union Staff Committee (staff)
	I want to join the Pride in Our Union Leadership Advisory Committee (union leaders)
	I want to request a speaker on LGBT workplace issues for my union event
	I want to share language in my contract against discrimination and for equal benefits
	I want my union to adopt language in my contract against discrimination and for equal benefits
	I want my union to adopt a resolution for marriage equality
	I want to organize my union to sponsor me to go to Equality and Justice Day on May 1, 2007

For more information, contact the Pride in Our Union Coordinator, Jessica Terrazas, at (212) 627-0305 or email union@prideagenda.org.