2010 MPWU Multi-state Convention
Member-at-Large (MAL) lottery form


Notice is hereby given to all MPWU Members-at-Large of the

MPWU Spring Training in Missoula, MT.
April 28-May 1, 2010


All MAL's in good standing who have not voluntarily held a managerial or supervisory
EAS position in the last year are eligible to apply.  The MPWU can fund two MAL's. 
These delegates will be chosen by lottery. 
The MPWU will pay for registration fees, room, per diem and either
airfare or mileage (at the IRS allowable rate), whichever is cheaper. 
Per diem and airfare/mileage will be prepaid
provided an expense voucher is submitted in advance.. 
If the delegate is unable to attend they will refund the prepaid amount to the
MPWU Secretary/Treasurer.  Two members of the MWPU E-board and
one other MPWU member will conduct the drawing of the entries mailed to:

MPWU
PO Box 1034
Lewistown, Montana 59457

This completed lottery form must be received by
President Youngbauer by Monday,
February 15, 2010.

-- 
Please print, fill out below and mail --

Name __________________________________________________
Address ________________________________________________
City ____________________________________________________
Home Phone Number ______________________________________
Cell Phone Number ________________________________________
Email Address ____________________________________________
Office of Employment _______________________________________
Work Phone # ____________________________________________
Have you applied for (form 991) or served in an EAS or
supervisory position in the last year?
____________________
Signature ____________________________ Date _______________
To go back to the MPWU Home page please click HERE.
To go back to the page with information on upcoming MPWU events please click
HERE.