FAX:          (905) 875-0443

TO:            Elections Chairperson, Local 4l4

 

Date:          ___________________________________

 

I have not received a ballot for the Unifor Local 414 election.
Could you please send a ballot to my mailing address listed below.

Name:_____________________________________________________________
          (Please print clearly)

Address:  _________________________________________________________

Apartment:_______________________City:_____________________________

Province: ____________________________ Postal Code:_________________

Cell Number:____________________  Work Number:_____________________

Email address:_____________________________________________________

Name of Company you work for:______________________________________

Company Address:_________________________________________________

Signature:_________________________________________________________