STEELWEB ONLINE APPLICATION
[ * denotes required field ]



Personal Information
Please enter your personal information with regards to your local:
Name (First Last): * Position: *
Local Number: * District: *

Top Five Authorized Signatures
Enter the names of the two (Top Five) officers who will sign this application:
LU Officer #1: * Title: *    
LU Officer #2: * Title: *    

Steelweb Accounts
Select the account(s) you wish to register or modify:


Local Union Information
Enter your Local Union's address and contact information:
Local Address 1: * Phone: *  
Address 2: Ext:  
City: * Fax:  
State/Province: * Email: *  
Zip/Postal: *  
Country: *

Membership Account Information
Enter contact information for the USW member who will handle the Membership account:
Name (First Last): * Phone: *  
Address 1: * Ext:  
Address 2: Email: *  
City: *
State/Province: *        
Zip/Postal: *  
         
(The security question should be something difficult for others to guess, but easy for you to remember!)
Security Question:
*
Security Answer:
*