104th Convention Credentials

MASSACHUSETTS
BUILDING TRADES UNIONS
A.F.L-C.I.O.

Union Local name *

Union Local Address *

Address Line 1

Address Line 2

City

State

Zip Code

How many Delegates will attend? *

Please specify how many Delegates will attend. If you would like 21 or more Delegates to attend, please contact the MBTC office directly to register.

Please Note, how you list your name and title is how it will appear on your name badge.

Delegate #1's Name & Title *

First

Last

Delegate's Email

Delegate's Cell Phone

Total

$ 0.00

Email *

Please list an email address for us to send the Credential Confirmation to

Stripe Credit Card *

Card

Name on Card

Message