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Stop Racism Buttons/Stickers Request Form

Based on your feedback from Young Workers and Multicultural Mentorship Committees' initiative for International Day for the Elimination of Racial Discrimination, we are pleased to offer SEIU-West members Stop Racism buttons and stickers.

These can be proudly worn by members throughout the year. We ask that you don't put them on employer property or clients/patients/residents/participants/students.

This is a great way for members to show solidarity in diversity and end racism today and every day.

Please request your buttons/stickers by April 18th. There is a limited quantity, so we are limiting request to a max of 25 stickers and 25 buttons. Order before we run out!
3. How many buttons would you like? *This question is required.
4. How many stickers would you like? *This question is required.
5. How would you like to receive your Stop Racism buttons/stickers?
*If at all possible, we'd like members to come by to pick up their supplies to save on shipping costs.* *This question is required.
Which SEIU-West office will you pick up the supplies at?
*Please call ahead to let us know when you'll pop by. We are not yet open to the public but can leave your supplies at the door. *This question is required.
I will pick them up on  *This question is required.