Untitled Survey

I Want to be an NMASS Member!

NMASS members are working people, including injured workers, students, mothers working in the home, retirees, unemployed persons, and people from all communities and walks of life. Together we're:
• Fighting long hours and other sweatshops conditions where we work & live.
• Holding government & business accountable for working people's health.
• Taking back control over our communities and lives.
• Building a new labor movement that not only fights for improvements, but fights for
long-term systemic change.

First Name and Last Name

Title

First Name

Last Name

email address

Email

phone number

Phone Number

Select Annual Dues Option 1 or 2

$12 (student or hardship rate)
$27 (general dues rate)

I would also like to make an additional donation of:

$25
$50
$100
Other:

Make all checks out to "NMASS" and earmark them dues or donations. Please include separate checks for dues and donations.