Sample 4

New User Registration!

Register with unionactive.com to stay up to date on important issues affecting you. You will have full access to the members resources and the ability to manage your own settings. You will also have the option to be added to relevant mailing lists in order to receive important emails on current issues.

Complete the form below to register. You must be a current member in order to register with this site. Once you submit the form, your registration will be verified by an official, and your account will be activated upon successful verification. Expect up to 24-48 hours for your account to become active. Thank you!

First Name: *

Last Name: *

Address:

City:

State/Province:

Postal Code: *

County:

Country:

Phone:

Cell Phone:

Format (no spaces or dashes): xxxxxxxxxx
Select Your Cell Phone Provider:

Send Me Text Message Alerts:

By selecting Yes above you agree to our mobile terms and privacy policy.
(Text HELP for help. Text STOP to cancel. Message frequency varies. Message and data rates may apply)

E-Mail Address: *

Allow other members to view my email address

Confirm E-Mail Address: *

Member # :

Book :

Trade :

Choose Username: *

(DO NOT use spaces)

Choose Password: *

Password Strength:

Strong passwords contain 3 of the following items and at least 6 characters:

- Uppercase Letters
- Lowercase Letters
- Numbers
- Symbols

Click the Preview button below to review the registration information on the next page.

* Required Fields