AFT 4784 Hancock Membership Application

I authorize deduction of membership dues per the above information and in accordance with my local affiliate, the constitutions of AFT and AFT-WV. Dues payments are not deductible as charitable contributions for federal income tax purposes, but a portion thereof may be deductible as a miscellaneous itemized deduction. The dues amount may change if authorized according to the provisions of the local, state, or national affiliate’s constitutions, or if my employment status changes. If this happens, I authorize my bank or credit card to adjust my payment when notified by the AFT-WV. I agree this authorization remains in effect until terminated in writing by me. A portion of my membership dues goes to the AFT-WV Committee on Political Education (COPE) for use in local and state political activities. This amount is automatically included in the membership dues; however, the contribution is voluntary. Any member who does not wish to make this voluntary contribution may file a written request to AFT-WV between August 1 and August 31 for a refund of the contribution for the preceding year.

COPE DISCLOSURE: I herby authorize an additional voluntary monthly contribution to the COPE as selected below. This authorization is signed freely and voluntarily and not out of any fear of reprisal, and I will not be favored nor disadvantaged because I exercise this right. My contribution goes to the AFT-WV COPE for use in local and state political activities. This voluntary authorization may be revoked at any time by notifying AFT-WV in writing of the desire to do so. COPE contributions cannot be reimbursed or otherwise paid by any other person or entity and are not deductible as charitable contributions for federal income tax purposes.