workers safety and health 

SEMCOSH membership is open to individuals and unions (locals, districts, etc.).
Please print out the form below and mail it to:

        SEMCOSH
        7752 W. Vernor  #103
        Detroit, MI  48209


Name___________________________________________

Address _________________________________________

City ____________________________________________

State ____________     Zip ______________

Phone(s) ________________________________________

___________________________________________

Email _________________________________________

Union & Local _________________________________

Job __________________________________________


DUES STRUCTURE

Individuals

Regular .............$20
Contributing.....$50
Sustaining.......$100

Unions

Less than 100 members....$50
101-1000 members...........$75
Over 1000.......................$100 plus $30 each addl 1000 members

Dues enclosed    $ _________

Contribution       $ _________

Total enclosed    $ _________

Home                    Join        
SEMCOSH 7752 W. Vernor #103, Detroit, Michigan 48209       
                 ©2004 SEMCOSH