Lake Shore Secretaries Local 6195

By providing the information on this form, I authorize Lake Shore Association of Education Secretaries - Local 06195 and the American Federation of Teachers (AFT) to deduct dues for membership per the above information and in accordance with the Lake Shore Association of Education Secretaries - Local 06195 constitution, the state constitution and the AFT constitution. 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 requirements of the local, state or national constitutions. If this happens, I authorize my bank or credit card to adjust my payment when notified by Lake Shore Association of Education Secretaries - Local 06195. I agree this authorization remains in effect until terminated in writing by me or until Lake Shore Association of Education Secretaries - Local 06195 is given written notification of my separation from my employer and/or the bargaining unit.