REQUEST FOR RUN OFF BALLOT

0

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:_________________________________________________________