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Your name Your UAW Local Your address and zip The Date Send to: Dennis Williams Secretary-Treasurer UAW Solidarity House | 8000 East Jefferson Avenue Detroit, Michigan 48214 | p. (313) 926-5000
Dear Mr. Williams: I am writing to request, under Article 16, Section 7(a) that the portion of my dues that are used for activities or causes political in nature be refunded to me. My social security number is --------Thank you for your prompt attention.