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A BRAND NEW UNITY HOUSE!... Learn more • Our Message • 20,000 strong and growing!

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How to Become and Unity House Beneficiary

Becoming a Unity House beneficiary is easy. If you are affiliated in any way with Unity House Inc., UNITE HERE Local 5, Teamsters Local 996 or just a friend of labor you can become a beneficiary. Fill out the form below to submit a request to become a Unity House beneficiary. You will receive confirmation via email with a confirmation number and we will follow-up with you as soon as possible.

A * next to each field label means that an entry in this field is required.

* First Name

* Last Name

Address

City

State

Zip

Country

Work Phone
(include area code)

Home Phone
(include area code)

Cel
(include area code)

Fax
(include area code)

Birthday

Month

Day

Year (Optional)

* E-mail Address

Member Of

Current Employer

Union Member Status

Active Retired Past

If Past, Provide employer name & date of union membership

Please ask any questions you might have and/or add any comments.

How did you find out about us?

Other Source - Please Specify:

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* Please check the box to verify you are a real person and not a spam robot.

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