LONE STAR LODGE 2208

UNEMPLOYMENT DUES REQUEST

Please print and fill out this form and mail it to the Lone Star Lodge 2208 at

1953 Bedford Road, Bedford, Texas 76021.                Phone 817-399-0002

Member's Name:   ______________________________________________

Union Card Number:   ___________________________________________

Date of Request:   _______________________________________________

What months are you requesting unemployment for ____________________

Reason for the request:   _________________________________________

Dates of unemployment:   _________________________________________

Do not include any time off that you receive more than half of your pay.  You are required to pay full dues those months.

All requests must meet the requirements of the IAMAW Constitution.  Meet with

your shop steward for additional information.  An unemployment stamp charge shall be $2.00 per month of unemployment and is the members responsibility to ensure it is paid to the Secretary/Treasurer monthly.