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Norfolk Federation of Teachers, AFT Local 4261
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Norfolk Federation of Teachers AFT Local 4261
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First Name
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Middle Name
Last Name
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United States of America
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Mailing State
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Mailing Zip Code
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Date of Birth
Date
E.g., 2024-12-03
Home Phone
Mobile Phone
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Preferred Phones
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Personal E-mail
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Worksite Location
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Employee ID
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Recruited By
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If Applicable, Resignation from Another Professional Organization
I am changing membership from another professional organization.
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Select your membership category
Select your membership category
Teacher Dues (NPS)
Classified - Salary $10,000 and Under (NPS)
Classified - Salary $10,001 - $29,999 (NPS)
Classified - Salary $30,000 and Over
Dues Amount
$0.00
Total
* draft
COPE Amount
By donating to COPE, we’re able to fight for your pension, good legislation, and elected officials who support you and your professions. Donating to COPE is the most effective way for your voice to be heard.
COPE Amount Values
$0
$0.50
$1
$2
other
Other Amount
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Authorize
I agree to be a member of Norfolk Federation of Teachers, authorize Norfolk Federation of Teachers to represent me to the fullest extent of the law, and accept the terms of the agreement below.
I authorize Norfolk Public Schools to deduct the NFT dues in an amount that may be determined from time to time from my pay on a BI-WEEKLY basis. I understand that this agreement will be in effect until canceled by me in written form to the Norfolk Federation of Teachers for submission to payroll. **NFT MEMBERSHIP IS ONLY AVAILABLE TO CONTRACTED EMPLOYEES.
Authorize COPE
I have read and agree to make the voluntary COPE contributions described below.
COPE DISCLOSURE: I hereby authorize a monthly contribution to the COPE in the amount indicated above. 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. I understand this money will be used to make political contributions. COPE may engage in joint fundraising efforts with AFT COPE and/or the AFL‐CIO. This voluntary authorization may be revoked at any time by notifying COPE in writing of the desire to do so. Contribution or gifts to COPE are not deductible as charitable contributions for federal income tax purposes. Contributions cannot be reimbursed or otherwise paid by any other person or entity.
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Date
Date
E.g., 2024-12-03
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