San Antonio Alliance Membership Application

By providing the information on this form, I authorize San Antonio Alliance - Local 00067 and the American Federation of Teachers (AFT) to deduct dues for membership per the above information and in accordance with the San Antonio Alliance - Local 00067 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 San Antonio Alliance - Local 00067. I agree this authorization remains in effect until terminated in writing by me or until San Antonio Alliance - Local 00067 is given written notification of my separation from my employer. Employment Defense: Pre-existing conditions will not be pursued. To be considered for legal services, grievance representation, or assistance with solving problems, membership is required before the member knew or should have known of the events or occurrences leading up to the action complained about.

San Antonio Alliance PAC DISCLOSURE: I hereby authorize a monthly contribution to the San Antonio Alliance PAC 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. San Antonio Alliance PAC 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 San Antonio Alliance PAC in writing of the desire to do so. Contribution or gifts to San Antonio Alliance PAC are not deductible as charitable contributions for federal income tax purposes. Contributions cannot be reimbursed or otherwise paid by any other person or entity.