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First Name
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Middle Name
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Mailing Zip Code
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Mobile Phone
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preferred
preferred
Personal E-mail
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Work E-mail
Employer
Worksite Location
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Employer ID (G number)
*
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Job Title
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Job Title
Full-Time Faculty
Part-Time (Adjunct) Faculty
Academic Professional
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How did you connect with FFAP?
How did you connect with FFAP?
A coworker asked me to join
An organizer asked me to join
I got an email from the Federation
I found the website
Other
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What motivated you to join FFAP?
What motivated you to join FFAP?
I want to support what the Federation is doing
Solidarity with my coworkers
I thought I was already a member
Other
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Select your membership category
Select your membership category
Member
AFT-Oregon Political Action Fund Amount
By donating to AFT-Oregon Political Action Fund, we’re able to fight for your pension, good legislation, and elected officials who support you and your professions. Donating to AFT-Oregon Political Action Fund is the most effective way for your voice to be heard.
COPE Amount Values
$0
$5
$10
$15
$20
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Other Amount
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Authorize
I commit to my union membership in Local 2277, Portland Community College Federation of Faculty and Academic Professionals, AFT-Oregon, American Federation of Teachers, AFL-CIO (PCCFFAP). I agree to abide by its constitution and bylaws and I authorize the union to act as my exclusive representative in collective bargaining over wages, benefits, and other terms and conditions of employment with my employer.
I hereby request and voluntarily authorize my employer to deduct from my wages an amount equal to the regular
monthly dues
uniformly applicable to members of PCCFFAP, and further that such amount so deducted to be sent to PCCFFAP for and on my behalf. This authorization shall remain in effect and shall be irrevocable for a period of one year from the date of this authorization and shall be renewed from year to year thereafter, irrespective of my membership in PCCFFAP, unless I notify both my employer and PCCFFAP in writing, with my valid signature, of my desire to revoke this authorization during the 30 days preceding the anniversary date of this agreement.
While contributions or gifts to PCCFFAP are not tax-deductible as charitable contributions for federal income tax purposes, they may be tax-deductible under other provisions of the Internal Revenue Code. The invalidity or unenforceability of any particular provision hereof shall not affect the other provisions, and this agreement shall be construed in all respects as if such invalid or unenforceable provision were omitted. By signing and submitting this form, it shows I agree to the terms above.
Authorize COPE
I have read and agree to make the voluntary AFT-Oregon Political Action Fund contributions described below.
This contribution may qualify for the Oregon Political Tax Credit. Qualifying single filers are eligible for a credit of $50/year; qualifying joint filers $100/year. AFT-Oregon Political Action Fund DISCLOSURE: I hereby authorize a monthly contribution to the AFT-Oregon Political Action Fund 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. AFT-Oregon Political Action Fund 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 AFT-Oregon Political Action Fund in writing of the desire to do so. Contributions or gifts to AFT-Oregon Political Action Fund 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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