Your Details

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Today's Date

Your Address
City, State Zip

Union Name
Union Address
Union City, Union State Union Zip

To Union Officer Name: I am employed by Employer Name. Effective immediately, I resign from membership in the Union Name and all of its affiliated unions (the “Union”). I object to paying any further union dues, fees, or assessments. I demand that you issue a refund of any prepaid dues to which I am entitled. This letter is also notice that I hereby revoke any agreement in place to automatically deduct union dues, fees, or assessments from my earnings or from any of my accounts or to charge such fees on my credit card. Any further collection of dues or fees from me will violate my rights under Wisconsin law.

Sincerely yours,

Your Name

cc: Employer HR/Personnel Department