I.B.E.W. Local 108
Union Dues Deduction Authorization
Company
*
Please Select
SECO
PRECO
TECO
Clarios
Gopher Resource
Sensor Systems
RUAN
WEDU
Peoples Gas Sarasota
Integrated Power Systems (IPS)
Seminole Electric Cooperative
Name
*
First Name
Last Name
Today's Date
*
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Month
-
Day
Year
Date
I hereby direct {typeA7} to deduct 2 hours pay per month plus:
Must Check One:
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$47.00 A Membership
$24.00 BA Membership
Optional Deductions 1:
$10.00 TECO Fast Aid
Optional Deductions 2:
$6.00 Clarios Sick Fund
Beginning on the date below as payment of my membership dues in the International Brotherhood of Electrical Workers, Local 108.
*
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Month
-
Day
Year
Date
Signed
Submit
Should be Empty: