Authorization Card - Action Massachusetts Nurses Association

Date*
MM slash DD slash YYYY
I, (print full name)
hereby authorize MNA to be my exclusive representative for the purpose of bargaining collectively with my employer over wages, hours, and other terms and conditions of employment.
I also authorize MNA to use this authorization card in support of a representation election petition at the National Labor Relations Board and any appropriate state agency.
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Email*
Employer*
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Shift*
Your right to sign this card is strictly protected by state and federal law.
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