2012 MPWU State Training and Convention
Member-at-Large (MAL) lottery form


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

MPWU Spring Training in Great Falls, MT.
April 25 - April 28, 2012

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/Big Sky State News
PO Box 1767
Great Falls, Montana 59403

This completed lottery form must be received by
President Phillippe by Friday March 2, 2012.


-- 
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 _______________
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