I, _______________________, am opposed to
paying my own way by supporting the Union with my dues money.
I, hereby, decline any/all benefits that Unions have won throughout the
years, including but not limited to: fair wages, health benefits, 8-hour
work day, weekends, overtime pay, vacation pay, holidays, pension plan, safety
laws, workmen's compensation laws, Social Security, unemployment benefits, and
representation on the job.
I refuse to accept any benefits that will be won by Union negotiators as part
of any future collective-bargaining agreements.
I hereby authorize and direct the company to withhold the amount of the
union-won benefits from my paycheck each week and donate it to charity.