Membership Application and Dues Deduction Authorization

DUES AUTHORIZATION: Effective immediately, I hereby voluntarily authorize and direct the Payroll Department of the Baltimore City Public School System (“BCPSS”) to deduct from my earnings in 21 equal amounts per school year the dues and membership fees of the Union each pay period. I further authorize the Payroll Department of BCPSS to modify the amount to be deducted when such amount is adopted by the Union as a uniform change. I further direct the Payroll Department of BCPSS to remit all sums deducted from my pay to the Union in accordance with governing law and with the Union’s negotiated agreements with BCPSS. I recognize that neither this authorization nor its continuation is a condition of my employment. DURATION AND REVOCATION: I authorize the deduction of dues and fees, whether or not I remain a member of the Union. This authorization shall remain in effect from year to year unless I notify the Union in a signed writing, delivered to the Union by certified mail, of revocation between June 1st and June 30th, or unless otherwise provided by law. EFFECT: This authorization supersedes any prior membership and/or check-off authorization card I have signed. Payments, dues, or fees, to the Union are not deductible as charitable donations. *TELEPHONE CONSUMER PROTECTION ACT STATEMENT: By providing my cell phone number to the Union, I understand that the Union and its parent and affiliated organizations may use automated calling technologies and/or text message to reach me on my cell phone on a periodic basis. The Union will not charge for text message alerts; carrier message and data rates may apply to such texts. AFFIRMATION: I affirm that this authorization, and the authority granted within, is freely given: