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Labor Law by David E. Strecker

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157
© 2011 by Taylor & Francis Group, LLC
Appendix 6
Sample Union Authorization Card
Name...........................................................................................................................
(Please Print)
Address................................................................................Phone...........................
City...................................................................State ....................Zip ....................
S.S. # ...............................................
Employer ...................................................................................................................
Department ........................................................ Shift: 1st
R
2nd
R
3rd
Job Classification ......................................................................................................
Date ........................................ Signature ................................................................
Form 141
AUTHORIZATION FOR REPRESENTATION
I authorize a local union of the International Brotherhood of
Electrical Workers, to represent me in collective bargaining
with my employer.

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