Texas AFT AMP Membership Form (K-12) ADMIN

I authorize Texas AFT to draft my bank account for the amount and dates listed on this application. The monthly dues amount may change if required by local, state or national constitutions. I authorize my bank to adjust my monthly payment when notified by the Texas AFT Associate Membership Program. This authorization remains in effect until terminated in writing by me. These deductions will continue for this school year and future years, including any increases in dues, until terminated by me in writing. Additionally, I assume all responsibility for any fees incurred due to invalid payment information and insufficient funds.

COPE DISCLOSURE LANGUAGE - This authorization is signed freely and voluntarily and not out of any fear of reprisal, and I will not be favored or disadvantaged because I exercise this right. I understand this money will be used to make political contributions by Texas AFT COPE II. Texas AFT COPE II may engage in joint fundraising efforts with the AFT and AFL-CIO. A voluntary COPE authorization may be revoked at any time by notifying Texas AFT in writing of the desire to do so. Texas law prohibits Texas AFT from contributing general dues dollars to political campaigns. Contribution or gifts made to Texas AFT COPE II are not deductible as charitable contributions for federal income tax purposes. Contributions cannot be reimbursed or paid by any other person or entity.