Employee Change of Address Form

Employee Change of Address Form

Fax to: 708-482-1747 Attention: Union Bookkeepers

First Name:_________________________ Last Name:___________________________

Address 1:________________________________________________________________

City: ______________________________________ State: ________Zip:_____________

Phone: ( ______ ) _______ - _________ Cell Phone: ( ______ ) _______ - _________

Employer:________________________________________________________

Work Address: ______________________________________________________________

City: _____________________________ State: _______ Zip:______________

Type of Work / Industry: __________________________________________________________

Current member Check Box & Union Book Number: ____________

Send this form by postal mail or fax to Mechanics Local 701:

Automobile Mechanics Local 701
500 West Plainfield Rd.
Countryside, IL 60525

To contact Local 701 call: (708) 482-1720