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Personal Profile
Name:
Home Address:
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CU Name:
CU Address:
City:
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ZIP:
Office Phone:
Fax:
Home Phone:
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Please indicate the name(s) of your legislator(s):

Do you know him/her? What kind of relationship?
(Friend/Neighbor/Business/College/Major Donor/Met a couple of times, etc.):

There will be a number of credit union activities in which your participation can make the difference. Please indicate which of the following activities you would be willing to do:
Join a Credit Unions' Speakers Bureau
Participate in a district meeting with your Congressman or Senator
Call your Congressman or Senator
Write a letter
Send a Postcard

Thank you!

Please Fax Profile to:
CUNA
(202)682-9054

or

Mail to:
Key Contact Program
CUNA
805 15th Street NW, Suite 300
Washington, DC 20005

America's Credit Unions: Where people are worth more than money

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