Union: ________________________________

Address: _______________________________

City: ____________ State: ________ Zip: _____


Dear Secretary/Treasurer___________________:

Exercising my rights as specified in section 7 of the National Labor Relations Act, as well as those contained in the United States Supreme Court’s decisions in General Motors v. NLRB (1963) and Pattern Makers v. NLRB (1985), I hereby resign my “full membership status” and elect to become “Financial Core Dues Paying /Beck/Agency Fee Status” effective immediately. As “Financial Core Dues Paying /Beck/Agency Fee Status”, I also wish to protest the payment of a dues equivalent (agency fee) that exceeds my proportionate share of the union’s representational expenses on behalf of my bargaining unit, in accordance with the United States Supreme Court’s decision in Communications Workers of America v. Beck (1988).

Please inform me of my agency fee and the computations the union used in arriving at that figure, as well as the union’s adopted procedure to dispute that figure in the event I happen to disagree with the union’s computation of my agency fee, as I wish to pay that amount when due and elect to become “Financial Core Dues Paying /Beck/Agency Fee Status” in good standing.

And finally, it is to be emphasized that unions are absolutely prohibited from
discriminating against “Financial Core Dues Paying /Beck/Agency Fee Status” in terms of representation and application of the various Collective Bargaining Agreements to which the union is a party.


Thank you.

Sincerely


_________________________
  (Signed)

_________________________
  (Printname)


Address:

______________________________


______________________________