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Authorization for PFT Membership Dues Withholding - Day-to-Day Substitute Teachers
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First Name
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Middle Name
Last Name
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Mailing Country
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United States of America
Mailing Address
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Mailing City
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Mailing State
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Home Phone
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Would you like to receive text messages on important issues facing PFT members?
Yes - Standard data and text rates from your mobile carrier may apply.
No
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Social security number or board id number
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payroll-deduction
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Select your membership category
Select your membership category
Membership of 1.0% of earnings
PAC Amount
By donating to PAC, we’re able to fight for your pension, good legislation, and elected officials who support you and your professions. Donating to PAC is the most effective way for your voice to be heard.
COPE Amount Values
$0
$2.50
$5
$10
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Other Amount
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Authorize 1
I agree to be a member of Pittsburgh Federation of Teachers , authorize Pittsburgh Federation of Teachers to represent me to the fullest extent of the law, and accept the terms of the agreement below.
I hereby voluntarily authorize my employer to deduct from my salary the sum selected above and to forward that amount to the Union’s Committee on Political Education (COPE). COPE will use the money contributed to make political contributions and expenditures in connection with federal, state, and local elections. This authorization is not a requirement for union membership or employment, and I am signing it freely and voluntarily. This voluntary authorization may be revoked at any time by notifying the Union in writing of my desire to do so. Contributions to the Union’s Committee on Political Education are not deductible as charitable contributions for Federal Income Tax purposes and can be made only by union members who are U.S. Citizens or Legal Permanent Residents.
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Date
Date
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