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Phone Bank and Labor Walk Voucher Form

    Name

    Mailing Adress

    City

    State

    Zip code

    Phone Number

    Email

    Are you a member of HPAE?

    If yes, which HPAE local/facility?

    Please select which activity you participated in:

    If you selected Labor Walk, select the location you walked out of:

    Date

    Disclaimer: You may be asked to complete a 1099 tax form if you exceed $600 in earnings in this calendar year.