Yes. I choose charity! I have filled out the form letter and sent it to my union.

I’m still not sure and would like some more information on this procedure.

I would like someone to contact me regarding this procedure. 
     Please call me during the daytime or evening

Thank you for the information, but I am not interested at this time.

 * Indicates a required field

* Name:
* Address:
* City:
* State:
* Zip:
Daytime Phone:
Evening Phone:
* Email Address: