AFGE District 11

September 04, 2010

New User Registration!

Register with afged11.org to stay up to date on important issues affecting you. You will have full access to the members resources. You will also have the option to be added to relevant mailing lists in order to receive important emails on current issues. Complete the form below to register. You must be a current member in order to register with this site. Once you submit the form, your registration will be verified by an official, and your account will be activated upon successful verification. Expect up to 24-48 hours for your account to become active. Thank you!

First Name:	*
Last Name:	*
Address:	*
City, State/Province:	* , *
Postal Code:	- *
County:
Country:
Phone:	*
Cell Phone:	Format (no spaces or dashes): xxxxxxxxxx Select Your Cell Phone Provider: Send Me Text Message Alerts:
E-Mail Address:	* Allow other members to view my email address
Personal Email Address:	*
Cell Phone:
D11 National Rep:

Local # :
Title :

Choose Username:	* (DO NOT use spaces)
Choose Password:	* (DO NOT use spaces)

	Click the Preview button below to review the registration information on the next page. * Required Fields