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* Organization Name
BWC Policy #
* Street Address
* # Employees
* City, State, Zip
* Email Address
* Type of Company
Web Site Address
* Principle Business Activity...What does your company produce or sell?
* Are any of your employees represented by a union?
Person responsibe for labor relations
Please send a copy of each union contract for our files.
How did you learn about The EA?
Primary reason for joining the EA?
To whom should we send our:
* Survey Reports
* Bulletin (Newletter) & Seminar Mailing
* Additional Training Seminar Information
You will receive information through E-mail unless you specify a different media. If you do not wish to receive E-mail, please check this box.
Names and titles of officials and staff:
* HR (Primary Contact
* Required Information
1787 Indian Wood Circle, Suite A | Maumee, OH 43537 | 419-893-3000 | 800-882-7042 | Fax: 419-893-3001 |
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