CNMC Payroll Deduction

Membership: *

Religious Objection: *

Date *

Name: *

Signature: *

Department: *

Shift: *

Job Title: *

Employee #: *

Date of Hire: *

Date of Birth *

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Home Phone Number: *

Cell Phone Number: *

Email Address: *

Work Phone Number: *

Employees who are members of a bona fide religion that has historically held conscientious objections to joining or financially supporting labor organizations shall not be required to join or financially support the Union. Instead, they shall be required to pay the Union an equivalent sum which the Union will donate to non-religious charitable institutions exempt from taxation under Section 501(c) of the Internal Revenue Code.

CNMC Payroll Deduction

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