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LOCAL GOVERNMENT PENSION CAMPAIGN

URGENT APPEAL FOR FUNDS

 

 

VOLUNTARY LEVY CONTRIBUTIONS FROM MEMBERS

 

 

PLEASE COMPLETE THE FOLLOWING USING BLOCK CAPITALS

 

Surname

Mr/Ms/Mrs/Miss

 

Forenames .

 

Department .

Payroll No ......

 

Workplace Address ........

 

...

 

 

*Please delete where not appropriate

 

 

MONTHLY PAID

 

I would like to donate 5.00 per month to Croydon UNISON Industrial Action Fund

 

 

WEEKLY PAID

 

I would like to donate 1.00 per week to Croydon UNISON Industrial Action Fund

 

 

 

 

Signed .

Date ..

 

 

 

Please return this form to Croydon UNISON, Room 12.10,

Taberner House, Park Lane, Croydon CR9 3JS.

 

Croydon UNISON thanks you for your support for the strikers in this crucial dispute to protect the current arrangements of the LGPS for our members

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