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We will use this information to track and report on Teamster events to observe Workers’ Memorial Day:

Local Union: _________________________________________________________

Contact Person: ______________________________________________________ 

Email/Phone:_________________________________________________________

Description of activities/events that are planned or took place (include when and where):_______________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

Which organization(s) organized event: ___________________________________ _____________________________________________________________________

Which organization(s) participated in event: _______________________________

Number of people participating in activities: ______________________

Media present (list): ________________________________________________

Please send this information as soon as possible to:

Safety and Health Department
International Brotherhood of Teamsters
25 Louisiana Avenue, N.W.
Washington, D.C.  20001

Tel:  202-624-6960
Fax: 202-624-8740

E-Mail Address: ibtsafety@teamster.org