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Submitted URL: https://www.prounionpronissan.com/
Effective URL: https://actionnetwork.org/forms/uaw-nissan-authorization-card
Submission: On July 07 via api from US — Scanned from DE
Effective URL: https://actionnetwork.org/forms/uaw-nissan-authorization-card
Submission: On July 07 via api from US — Scanned from DE
Form analysis 1 forms found in the DOM
POST https://actionnetwork.org/forms/uaw-nissan-authorization-card/answers
<form accept-charset="UTF-8" action="https://actionnetwork.org/forms/uaw-nissan-authorization-card/answers" class="new_answer" id="new_answer" method="post" novalidate="novalidate">
<div style="margin:0;padding:0;display:inline"><input name="utf8" type="hidden" value="✓"><input name="authenticity_token" type="hidden" value="0g9fMkXT0rlumRBgOx73Wb73yf6BDFTT0AJM0oTpERI="></div>
<input type="hidden" name="version" value="v5">
<input id="redirect" name="redirect" type="hidden" value="">
<input type="hidden" name="style" value="full">
<ul>
<li class="form_builder_output js-form_builder_output">
</li>
<li class="core_field">
<div class="floatlabel-wrapper "><label for="form-first_name" class="floatlabel-label floatlabel-label-inactive">First Name *</label><input class="required floatlabel-input" id="form-first_name" name="answer[first_name]"
placeholder="First Name *" type="text" value=""></div>
</li>
<li class="control-group js-fb-textinput" data-identifier="56658ad0-81a3-4629-960a-48190ef85590">
<label class="control-label" for="Middle-Name">Middle Name</label>
<input id="Middle-Name" name="Middle Name" type="text" placeholder="Middle Name" class="input-xlarge " data-always="false">
</li>
<li class="core_field">
<div class="floatlabel-wrapper "><label for="form-last_name" class="floatlabel-label floatlabel-label-inactive">Last Name *</label><input class="required floatlabel-input" id="form-last_name" name="answer[last_name]" placeholder="Last Name *"
type="text" value=""></div>
</li>
<li class="core_field">
<div class="floatlabel-wrapper "><label for="form-email" class="floatlabel-label floatlabel-label-inactive">Email *</label><input class="required floatlabel-input" id="form-email" name="answer[email]" placeholder="Email *" type="email"
value=""></div>
</li>
<li class="core_field">
<div class="floatlabel-wrapper "><label for="form-phone" class="floatlabel-label floatlabel-label-inactive">Mobile Number *</label>
<div class="iti">
<div class="iti__flag-container">
<div class="iti__selected-flag" role="combobox" aria-owns="country-listbox" title="Germany (Deutschland): +49">
<div class="iti__flag iti__de"></div>
</div>
</div><input class="required floatlabel-input" id="form-phone" name="answer[phone]" placeholder="Mobile Number *, 01512 3456789" type="text" value="" autocomplete="off">
</div>
</div>
</li>
<li class="control-group js-fb-textinput" data-identifier="address">
<label class="control-label" for="answerstreet"></label>
<div class="floatlabel-wrapper "><label for="answerstreet" class="floatlabel-label floatlabel-label-inactive">Street Address</label><input id="answerstreet" name="answer[street]" type="text" placeholder="Street Address"
class="input-xlarge floatlabel-input"></div>
</li>
<li class="control-group js-fb-textinput" data-identifier="d71a9aa7-e713-48cc-838f-ff0a88f59e30">
<label class="control-label" for="Address-2"></label>
<div class="floatlabel-wrapper "><label for="Address-2" class="floatlabel-label floatlabel-label-inactive">Address 2: Apt, suite, unit, bldg, floor</label><input id="Address-2" name="Address 2" type="text"
placeholder="Address 2: Apt, suite, unit, bldg, floor" class="input-xlarge floatlabel-input" data-always="false"></div>
</li>
<li class="control-group js-fb-textinput" data-identifier="city">
<label class="control-label" for="answercity"></label>
<div class="floatlabel-wrapper "><label for="answercity" class="floatlabel-label floatlabel-label-inactive">City</label><input id="answercity" name="answer[city]" type="text" placeholder="City" class="input-xlarge floatlabel-input"></div>
</li>
<label class="control-label js-fb-selectbasic" for="s2id_autogen1"></label>
<li class="control-group" data-identifier="41e26292-387d-4d6e-a291-11c517cbe3fc">
<div class="select2-container input-xlarge" id="s2id_state">
<a href="javascript:void(0)" onclick="return false;" class="select2-choice" tabindex="-1"> <span class="select2-chosen">---choose state---</span><abbr class="select2-search-choice-close"></abbr> <span class="select2-arrow"><b></b></span></a><input
class="select2-focusser select2-offscreen" type="text" id="s2id_autogen1">
<div class="select2-drop select2-display-none can_embed_select2 select2-with-searchbox">
<div class="select2-search"> <input type="text" autocomplete="off" autocorrect="off" autocapitalize="off" spellcheck="false" class="select2-input"> </div>
<ul class="select2-results"> </ul>
</div>
</div><select id="state" name="state" class="input-xlarge required can_select js-form_select2 select2-offscreen" data-always="true" tabindex="-1">
<option value="">---choose state---</option>
<option value="Alabama">Alabama</option>
<option value="Alaska">Alaska</option>
<option value="Arizona">Arizona</option>
<option value="Arkansas">Arkansas</option>
<option value="California">California</option>
<option value="Colorado">Colorado</option>
<option value="Connecticut">Connecticut</option>
<option value="Delaware">Delaware</option>
<option value="Florida">Florida</option>
<option value="Georgia">Georgia</option>
<option value="Hawaii">Hawaii</option>
<option value="Idaho">Idaho</option>
<option value="Illinois">Illinois</option>
<option value="Indiana">Indiana</option>
<option value="Iowa">Iowa</option>
<option value="Kansas">Kansas</option>
<option value="Kentucky">Kentucky</option>
<option value="Louisiana">Louisiana</option>
<option value="Maine">Maine</option>
<option value="Maryland">Maryland</option>
<option value="Massachusetts">Massachusetts</option>
<option value="Michigan">Michigan</option>
<option value="Minnesota">Minnesota</option>
<option value="Mississippi">Mississippi</option>
<option value="Missouri">Missouri</option>
<option value="Montana">Montana</option>
<option value="Nebraska">Nebraska</option>
<option value="Nevada">Nevada</option>
<option value="New Hampshire">New Hampshire</option>
<option value="New Jersey">New Jersey</option>
<option value="New Mexico">New Mexico</option>
<option value="New York">New York</option>
<option value="North Carolina">North Carolina</option>
<option value="North Dakota">North Dakota</option>
<option value="Ohio">Ohio</option>
<option value="Oklahoma">Oklahoma</option>
<option value="Oregon">Oregon</option>
<option value="Pennsylvania">Pennsylvania</option>
<option value="Rhode Island">Rhode Island</option>
<option value="South Carolina">South Carolina</option>
<option value="South Dakota">South Dakota</option>
<option value="Tennessee">Tennessee</option>
<option value="Texas">Texas</option>
<option value="Utah">Utah</option>
<option value="Vermont">Vermont</option>
<option value="Virginia">Virginia</option>
<option value="Washington">Washington</option>
<option value="West Virginia">West Virginia</option>
<option value="West Virginia">West Virginia</option>
<option value="Wisconsin">Wisconsin</option>
<option value="Wyoming">Wyoming</option>
<option value="American Samoa">American Samoa</option>
<option value="District of Columbia">District of Columbia</option>
<option value="Guam">Guam</option>
<option value="Northern Mariana Islands">Northern Mariana Islands</option>
<option value="Puerto Rico">Puerto Rico</option>
<option value="United States Virgin Islands">United States Virgin Islands</option>
</select>
</li>
<li class="core_field">
<div class="floatlabel-wrapper "><label for="form-zip_code" class="floatlabel-label floatlabel-label-inactive">Zip/Postal Code *</label><input class="required floatlabel-input" id="form-zip_code" name="answer[zip_code]"
placeholder="Zip/Postal Code *" type="text" value=""></div>
</li>
<span class="international_link-wrap js-international_link-wrap mb10">
<a class="international_link js-international_link">Not in <span class="js-international_link_country">DE</span>?</a>
</span>
<span class="country_drop_wrap js-country_drop_wrap hide clear">
<span class="block relative">
<select class="required can_select js-form-country hasCustomSelect" id="form-country" name="answer[country]" style="appearance: menulist-button; width: 100px; position: absolute; opacity: 0; height: 44px; font-size: 16px;">
<option value="">Country *</option>
<option value="AF">Afghanistan</option>
<option value="AX">Aland Islands</option>
<option value="AL">Albania</option>
<option value="DZ">Algeria</option>
<option value="AS">American Samoa</option>
<option value="AD">Andorra</option>
<option value="AO">Angola</option>
<option value="AI">Anguilla</option>
<option value="AQ">Antarctica</option>
<option value="AG">Antigua and Barbuda</option>
<option value="AR">Argentina</option>
<option value="AM">Armenia</option>
<option value="AW">Aruba</option>
<option value="AU">Australia</option>
<option value="AT">Austria</option>
<option value="AZ">Azerbaijan</option>
<option value="BS">Bahamas</option>
<option value="BH">Bahrain</option>
<option value="BD">Bangladesh</option>
<option value="BB">Barbados</option>
<option value="BY">Belarus</option>
<option value="BE">Belgium</option>
<option value="BZ">Belize</option>
<option value="BJ">Benin</option>
<option value="BM">Bermuda</option>
<option value="BT">Bhutan</option>
<option value="BO">Bolivia, Plurinational State of</option>
<option value="BQ">Bonaire, Sint Eustatius and Saba</option>
<option value="BA">Bosnia and Herzegovina</option>
<option value="BW">Botswana</option>
<option value="BV">Bouvet Island</option>
<option value="BR">Brazil</option>
<option value="IO">British Indian Ocean Territory</option>
<option value="BN">Brunei Darussalam</option>
<option value="BG">Bulgaria</option>
<option value="BF">Burkina Faso</option>
<option value="BI">Burundi</option>
<option value="KH">Cambodia</option>
<option value="CM">Cameroon</option>
<option value="CA">Canada</option>
<option value="CV">Cabo Verde</option>
<option value="KY">Cayman Islands</option>
<option value="CF">Central African Republic</option>
<option value="TD">Chad</option>
<option value="CL">Chile</option>
<option value="CN">China</option>
<option value="CX">Christmas Island</option>
<option value="CC">Cocos (Keeling) Islands</option>
<option value="CO">Colombia</option>
<option value="KM">Comoros</option>
<option value="CG">Congo</option>
<option value="CD">Congo, the Democratic Republic of the</option>
<option value="CK">Cook Islands</option>
<option value="CR">Costa Rica</option>
<option value="CI">Côte d'Ivoire</option>
<option value="HR">Croatia</option>
<option value="CU">Cuba</option>
<option value="CW">Curaçao</option>
<option value="CY">Cyprus</option>
<option value="CZ">Czech Republic</option>
<option value="DK">Denmark</option>
<option value="DJ">Djibouti</option>
<option value="DM">Dominica</option>
<option value="DO">Dominican Republic</option>
<option value="EC">Ecuador</option>
<option value="EG">Egypt</option>
<option value="SV">El Salvador</option>
<option value="GQ">Equatorial Guinea</option>
<option value="ER">Eritrea</option>
<option value="EE">Estonia</option>
<option value="ET">Ethiopia</option>
<option value="FK">Falkland Islands (Malvinas)</option>
<option value="FO">Faroe Islands</option>
<option value="FJ">Fiji</option>
<option value="FI">Finland</option>
<option value="FR">France</option>
<option value="GF">French Guiana</option>
<option value="PF">French Polynesia</option>
<option value="TF">French Southern Territories</option>
<option value="GA">Gabon</option>
<option value="GM">Gambia</option>
<option value="GE">Georgia</option>
<option value="DE" selected="">Germany</option>
<option value="GH">Ghana</option>
<option value="GI">Gibraltar</option>
<option value="GR">Greece</option>
<option value="GL">Greenland</option>
<option value="GD">Grenada</option>
<option value="GP">Guadeloupe</option>
<option value="GU">Guam</option>
<option value="GT">Guatemala</option>
<option value="GG">Guernsey</option>
<option value="GN">Guinea</option>
<option value="GW">Guinea-Bissau</option>
<option value="GY">Guyana</option>
<option value="HT">Haiti</option>
<option value="HM">Heard Island and McDonald Islands</option>
<option value="VA">Holy See (Vatican City State)</option>
<option value="HN">Honduras</option>
<option value="HK">Hong Kong</option>
<option value="HU">Hungary</option>
<option value="IS">Iceland</option>
<option value="IN">India</option>
<option value="ID">Indonesia</option>
<option value="IR">Iran, Islamic Republic of</option>
<option value="IQ">Iraq</option>
<option value="IE">Ireland</option>
<option value="IM">Isle of Man</option>
<option value="IL">Israel</option>
<option value="IT">Italy</option>
<option value="JM">Jamaica</option>
<option value="JP">Japan</option>
<option value="JE">Jersey</option>
<option value="JO">Jordan</option>
<option value="KZ">Kazakhstan</option>
<option value="KE">Kenya</option>
<option value="KI">Kiribati</option>
<option value="KP">Korea, Democratic People's Republic of</option>
<option value="KR">Korea, Republic of</option>
<option value="KW">Kuwait</option>
<option value="KG">Kyrgyzstan</option>
<option value="LA">Lao People's Democratic Republic</option>
<option value="LV">Latvia</option>
<option value="LB">Lebanon</option>
<option value="LS">Lesotho</option>
<option value="LR">Liberia</option>
<option value="LY">Libya</option>
<option value="LI">Liechtenstein</option>
<option value="LT">Lithuania</option>
<option value="LU">Luxembourg</option>
<option value="MO">Macao</option>
<option value="MK">North Macedonia</option>
<option value="MG">Madagascar</option>
<option value="MW">Malawi</option>
<option value="MY">Malaysia</option>
<option value="MV">Maldives</option>
<option value="ML">Mali</option>
<option value="MT">Malta</option>
<option value="MH">Marshall Islands</option>
<option value="MQ">Martinique</option>
<option value="MR">Mauritania</option>
<option value="MU">Mauritius</option>
<option value="YT">Mayotte</option>
<option value="MX">Mexico</option>
<option value="FM">Micronesia, Federated States of</option>
<option value="MD">Moldova, Republic of</option>
<option value="MC">Monaco</option>
<option value="MN">Mongolia</option>
<option value="ME">Montenegro</option>
<option value="MS">Montserrat</option>
<option value="MA">Morocco</option>
<option value="MZ">Mozambique</option>
<option value="MM">Myanmar</option>
<option value="NA">Namibia</option>
<option value="NR">Nauru</option>
<option value="NP">Nepal</option>
<option value="NL">Netherlands</option>
<option value="NC">New Caledonia</option>
<option value="NZ">New Zealand</option>
<option value="NI">Nicaragua</option>
<option value="NE">Niger</option>
<option value="NG">Nigeria</option>
<option value="NU">Niue</option>
<option value="NF">Norfolk Island</option>
<option value="MP">Northern Mariana Islands</option>
<option value="NO">Norway</option>
<option value="OM">Oman</option>
<option value="PK">Pakistan</option>
<option value="PW">Palau</option>
<option value="PS">Palestine, State of</option>
<option value="PA">Panama</option>
<option value="PG">Papua New Guinea</option>
<option value="PY">Paraguay</option>
<option value="PE">Peru</option>
<option value="PH">Philippines</option>
<option value="PN">Pitcairn</option>
<option value="PL">Poland</option>
<option value="PT">Portugal</option>
<option value="PR">Puerto Rico</option>
<option value="QA">Qatar</option>
<option value="RE">Réunion</option>
<option value="RO">Romania</option>
<option value="RU">Russian Federation</option>
<option value="RW">Rwanda</option>
<option value="BL">Saint Barthélemy</option>
<option value="SH">Saint Helena, Ascension and Tristan da Cunha</option>
<option value="KN">Saint Kitts and Nevis</option>
<option value="LC">Saint Lucia</option>
<option value="MF">Saint Martin (French part)</option>
<option value="PM">Saint Pierre and Miquelon</option>
<option value="VC">Saint Vincent and the Grenadines</option>
<option value="WS">Samoa</option>
<option value="SM">San Marino</option>
<option value="ST">Sao Tome and Principe</option>
<option value="SA">Saudi Arabia</option>
<option value="SN">Senegal</option>
<option value="RS">Serbia</option>
<option value="SC">Seychelles</option>
<option value="SL">Sierra Leone</option>
<option value="SG">Singapore</option>
<option value="SX">Sint Maarten (Dutch part)</option>
<option value="SK">Slovakia</option>
<option value="SI">Slovenia</option>
<option value="SB">Solomon Islands</option>
<option value="SO">Somalia</option>
<option value="ZA">South Africa</option>
<option value="GS">South Georgia and the South Sandwich Islands</option>
<option value="SS">South Sudan</option>
<option value="ES">Spain</option>
<option value="LK">Sri Lanka</option>
<option value="SD">Sudan</option>
<option value="SR">Suriname</option>
<option value="SJ">Svalbard and Jan Mayen</option>
<option value="SZ">Swaziland</option>
<option value="SE">Sweden</option>
<option value="CH">Switzerland</option>
<option value="SY">Syrian Arab Republic</option>
<option value="TW">Taiwan</option>
<option value="TJ">Tajikistan</option>
<option value="TZ">Tanzania, United Republic of</option>
<option value="TH">Thailand</option>
<option value="TL">Timor-Leste</option>
<option value="TG">Togo</option>
<option value="TK">Tokelau</option>
<option value="TO">Tonga</option>
<option value="TT">Trinidad and Tobago</option>
<option value="TN">Tunisia</option>
<option value="TR">Turkey</option>
<option value="TM">Turkmenistan</option>
<option value="TC">Turks and Caicos Islands</option>
<option value="TV">Tuvalu</option>
<option value="UG">Uganda</option>
<option value="UA">Ukraine</option>
<option value="AE">United Arab Emirates</option>
<option value="GB">United Kingdom</option>
<option value="US">United States</option>
<option value="UM">United States Minor Outlying Islands</option>
<option value="UY">Uruguay</option>
<option value="UZ">Uzbekistan</option>
<option value="VU">Vanuatu</option>
<option value="VE">Venezuela, Bolivarian Republic of</option>
<option value="VN">Viet Nam</option>
<option value="VG">Virgin Islands, British</option>
<option value="VI">Virgin Islands, U.S.</option>
<option value="WF">Wallis and Futuna</option>
<option value="EH">Western Sahara</option>
<option value="YE">Yemen</option>
<option value="ZM">Zambia</option>
<option value="ZW">Zimbabwe</option>
</select><span class="can_select required js-form-country" style="display: inline-block;"><span class="can_selectInner" style="width: 100px; display: inline-block;">Germany</span></span>
</span>
</span>
<label class="control-label js-fb-selectbasic" for="s2id_autogen2">Department</label>
<li class="control-group">
<div class="select2-container input-xlarge" id="s2id_nissan-multi-department">
<a href="javascript:void(0)" onclick="return false;" class="select2-choice" tabindex="-1"> <span class="select2-chosen">---choose below---</span><abbr class="select2-search-choice-close"></abbr> <span class="select2-arrow"><b></b></span></a><input
class="select2-focusser select2-offscreen" type="text" id="s2id_autogen2">
<div class="select2-drop select2-display-none can_embed_select2 select2-with-searchbox">
<div class="select2-search"> <input type="text" autocomplete="off" autocorrect="off" autocapitalize="off" spellcheck="false" class="select2-input"> </div>
<ul class="select2-results"> </ul>
</div>
</div><select id="nissan-multi-department" name="nissan multi department" class="input-xlarge can_select js-form_select2 select2-offscreen" data-always="true" tabindex="-1">
<option value="---choose below---">---choose below---</option>
<option value="VQ-6 cylinder">VQ-6 cylinder</option>
<option value="ZH-8 cylinder">ZH-8 cylinder</option>
<option value="PRK0-cylinder">PRK0-4 cylinder</option>
<option value="Warehouse">Warehouse</option>
<option value="Maintenance">Maintenance</option>
<option value="Stamping">Stamping</option>
<option value="Paint">Paint</option>
<option value="Body">Body</option>
<option value="Trim 1">Trim 1</option>
<option value="Trim 2">Trim 2</option>
<option value="Trim and chassis 1">Trim and chassis 1</option>
<option value="Trim and chassis 2">Trim and chassis 2</option>
<option value="Final">Final</option>
<option value="Pre delivery">Pre delivery</option>
<option value="Logistics">Logistics</option>
<option value="Pickers">Pickers</option>
<option value="Packers">Packers</option>
<option value="Other department">Other department</option>
</select>
</li>
<li class="control-group js-fb-textinput" style="display: none;">
<label class="control-label" for="nissan-other-department">Other Department *</label>
<input id="nissan-other-department" name="nissan other department" type="text" placeholder="Only if Other Department is chosen above *" class="input-xlarge" data-always="true" data-depends-name="nissan multi department"
data-depends-value="Other department">
</li>
<li class="control-group clearfix js-fb-multipleradios">
<label class="control-label check_radio_label">Shift</label>
<span class="controls check_radio_field">
<label class="radio">
<input type="radio" name="nissan multi shift" value="Days" class="" data-always="true"> Days </label>
<label class="radio">
<input type="radio" name="nissan multi shift" value="Nights" class="" data-always="true"> Nights </label>
<label class="radio">
<input type="radio" name="nissan multi shift" value="2nd" class="" data-always="true"> 2nd </label>
<label class="radio">
<input type="radio" name="nissan multi shift" value="3rd" class="" data-always="true"> 3rd </label>
<label class="radio">
<input type="radio" name="nissan multi shift" value="Weekends" class="" data-always="true"> Weekends </label>
</span>
</li>
<li class="control-group js-fb-textinput">
<label class="control-label" for="Nissan-Work-Area">Work Area</label>
<input id="Nissan-Work-Area" name="can2_action_field_Nissan Work Area" type="text" placeholder="Work Area" class="input-xlarge " data-always="false">
</li>
<li class="control-group js-fb-textinput">
<label class="control-label" for="Nissan-Job-Title">Job Title</label>
<input id="Nissan-Job-Title" name="can2_action_field_Nissan Job Title" type="text" placeholder="Job Title" class="input-xlarge " data-always="false">
</li>
<label class="control-label js-fb-selectbasic" for="s2id_autogen3">Employer *</label>
<li class="control-group" data-identifier="b183980b-7ee8-4ad7-9dba-de985d86b813">
<div class="select2-container input-xlarge" id="s2id_nissan-multi-employer">
<a href="javascript:void(0)" onclick="return false;" class="select2-choice" tabindex="-1"> <span class="select2-chosen">---choose below---</span><abbr class="select2-search-choice-close"></abbr> <span class="select2-arrow"><b></b></span></a><input
class="select2-focusser select2-offscreen" type="text" id="s2id_autogen3">
<div class="select2-drop select2-display-none can_embed_select2 select2-with-searchbox">
<div class="select2-search"> <input type="text" autocomplete="off" autocorrect="off" autocapitalize="off" spellcheck="false" class="select2-input"> </div>
<ul class="select2-results"> </ul>
</div>
</div><select id="nissan-multi-employer" name="nissan multi employer" class="input-xlarge required can_select js-form_select2 select2-offscreen" data-always="true" tabindex="-1">
<option value="">---choose below---</option>
<option value="Nissan">Nissan</option>
<option value="Yates">Yates</option>
<option value="Onin">Onin</option>
<option value="Calsonic ">Calsonic </option>
<option value="Other Contract Agency ">Other Contract Agency </option>
</select>
</li>
<li class="control-group js-fb-textinput" style="display: none;">
<label class="control-label" for="other-nissan-employer">Other contract agency *</label>
<input id="other-nissan-employer" name="other nissan employer" type="text" placeholder="type here *" class="input-xlarge" data-always="true" data-depends-name="nissan multi employer" data-depends-value="Other Contract Agency">
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<label class="control-label js-fb-selectbasic" for="s2id_autogen4">Plant *</label>
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<a href="javascript:void(0)" onclick="return false;" class="select2-choice" tabindex="-1"> <span class="select2-chosen">--Please select your plant--</span><abbr class="select2-search-choice-close"></abbr> <span class="select2-arrow"><b></b></span></a><input
class="select2-focusser select2-offscreen" type="text" id="s2id_autogen4">
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<div class="select2-search"> <input type="text" autocomplete="off" autocorrect="off" autocapitalize="off" spellcheck="false" class="select2-input"> </div>
<ul class="select2-results"> </ul>
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</div><select id="Nissan-Plant" name="can2_action_field_Nissan Plant" class="input-xlarge required can_select js-form_select2 select2-offscreen" data-always="true" tabindex="-1">
<option value="">--Please select your plant--</option>
<option value="Smyrna, TN">Smyrna, TN</option>
<option value="Decherd, TN">Decherd, TN</option>
<option value="Canton, MS">Canton, MS</option>
</select>
</li>
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</li>
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<label class="control-label" for="Nissan-comments">Why Do You Want To Form Your Union? </label>
<textarea id="Nissan-comments" name="Nissan comments" class="" data-always="false"></textarea>
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</form>Text Content
NISSAN WORKERS STAND UP!
UAW autoworkers just won historic raises at the Big Three: Ford, General Motors,
and Stellantis. Now it’s our turn.
* We are forming a union with the UAW. Together, we’ll have the power to win
better pay, better benefits and a better life.
* We’ve got the same issues. The same industry. And the same jobs as the UAW
members at the Big Three. But we’re getting left behind at Nissan.
* Nissan made nearly a trillion dollars in revenue in the past decade. Over 80%
of Nissan’s North American revenue is generated in the U.S. Nissan parts
distribution workers just won a UAW contract. Now it’s time for every Nissan
worker to win their fair share. Profits are way up, and workers are even
further behind.
Sign the Authorization Card to join the UAW and Stand Up for our fair share at
Nissan.
Learn more about the UAW’s record contracts at Ford, GM and Stellantis. It’s
time we Stand Up and fight for what we deserve, just like the 150,000 UAW
autoworkers at the Big Three.
SPONSORED BY
Stand Up Nissan | UAW
FILL OUT THE UAW AUTHORIZATION CARD TO STAND UP AND WIN MORE AT NISSAN
*
* First Name *
* Middle Name
* Last Name *
* Email *
* Mobile Number *
* Street Address
* Address 2: Apt, suite, unit, bldg, floor
* City
* ---choose state---
---choose state--- Alabama Alaska Arizona Arkansas California Colorado
Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa
Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota
Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New
Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania
Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont
Virginia Washington West Virginia West Virginia Wisconsin Wyoming American
Samoa District of Columbia Guam Northern Mariana Islands Puerto Rico United
States Virgin Islands
* Zip/Postal Code *
Not in DE?
Country * Afghanistan Aland Islands Albania Algeria American Samoa Andorra
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Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia
Comoros Congo Congo, the Democratic Republic of the Cook Islands Costa Rica
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Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea
Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji
Finland France French Guiana French Polynesia French Southern Territories
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Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Isle
of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati
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Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal
Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk
Island Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State
of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal
Puerto Rico Qatar Réunion Romania Russian Federation Rwanda Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint
Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and
the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal
Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia
Slovenia Solomon Islands Somalia South Africa South Georgia and the South
Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan
Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan
Tanzania, United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad
and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda
Ukraine United Arab Emirates United Kingdom United States United States Minor
Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela, Bolivarian Republic of
Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna
Western Sahara Yemen Zambia ZimbabweGermany
Department
* ---choose below---
---choose below--- VQ-6 cylinder ZH-8 cylinder PRK0-4 cylinder Warehouse
Maintenance Stamping Paint Body Trim 1 Trim 2 Trim and chassis 1 Trim and
chassis 2 Final Pre delivery Logistics Pickers Packers Other department
* Other Department *
* Shift Days Nights 2nd 3rd Weekends
* Work Area
* Job Title
Employer *
* ---choose below---
---choose below--- Nissan Yates Onin Calsonic Other Contract Agency
* Other contract agency *
Plant *
* --Please select your plant--
--Please select your plant-- Smyrna, TN Decherd, TN Canton, MS
* I authorize the International Union, UAW to represent me in collective
bargaining *
* Today's Date *
* Why Do You Want To Form Your Union?
* Opt in to mobile messages from Stand Up Nissan | UAW. Message and data rates
apply. Reply STOP to unsubscribe.
*
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this form.
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