OPEN ENROLLMENT FORM FOR SEIU/NGO 2015-2016

DEADLINE: July 1, 2015 OBJECTION FORM (all in one)

ADVANTAGE of Becoming a Non Germane Objector 2015 2016:
1- REDUCE YOUR MONTHLY DUES by 34%
2- STILL BE ENTITLED TO FAIR & IMPARTIAL REPRESENTATION
Effective July 1, 2015 through June 30, 2016 (the "2015-16 Fee Payer
Year), SEIU LOCAL 1000 will charge fee payers who object to expenditures
not germane to collective bargaining a fee of no more than 66.44% of
regular membership dues for that salary level. In order to obtain this
reduced amount, you must send an objection letter to SEIU LOCAL 1000's
Membership Processing Center. Objector letter must be

received by July 1 2015.

Print & complete this form/all 6 items. If mailed, preferably certified
receipt. If hand delivered, make an additional copy to be stamped as
proof of receipt.
For More Info about NGO visit: www.seiuNGO.com or call SEIU Local
1000: (866) 471-7348.
OBJECTION LETTER TO SEIU LOCAL 1000s MEMBERSHIP
PROCESSING CENTER
SEIU Local 1000 Membership Cancellation & Non-Germane Objector (NGO)
I am submitting this form to cancel my SEIU Local 1000 membership
I am filing for Non-Germane Objector
I object the use of my fees for activities NOT related to collective
bargaining
________________________________________________________________
1- SIGNATURE

DATE

________________________________________________________________
2Print First/M.I./Last Name
3-

Street ADDRESS__________________________________________________

4-

CITY/State/ZIP: __________________________________________________

6-

Department: _____________________________

5Agency/Bargaining Unit see: www.seiuNGO.com

________
6Last 4 digits of your SSN (for identification) ___________

Form must be received by SEIU by July 1, 2015. It is recommended to

send certified receipt

CSEA/SEIU Membership
1108 O Street, Ste 415
Sacramento, CA 95814
PS: send a copy of your form to: Lawyer James Young
wjy@NRTW.org
C below our estimated SEIU $pending PIE with OUR dues

This is an estimate based on the financial statements

provided by
SEIU Local 1000
and other reliable sources.
www.uniontranparency.com

FILING NON GERMANE OBJECTOR IS ONE WAY TO SAY

ENOUGH IS ENOUGH
SPLURGING WITH OUR DUES
Never doubt that a small group of thoughtful committed citizens
can change the world; indeed, its the only thing that ever has.
Margaret Mead

www.uniontransparency.com