URA-AFT Committee on Political Education (COPE) Donor Authorization Form

Join the Committee on Political Education (COPE) to support worker-friendly candidates & policies in Washington & Trenton

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First Name *

Middle Name

Last Name *

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Mailing Country *

Mailing Address *

Mailing Suite

Mailing City *

Mailing State *

Mailing Zip Code *

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Personal E-mail *

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Sign me up for political action alerts via email and or text messages

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I am willing to volunteer for:

Voter registration events

Citizenship Days

Getting out the vote for union-endorsed candidates

Other actions

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COPE Amount

Other Amount

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Authorize COPE

I hereby authorize and direct Rutgers, The State University to make biweekly deductions from my pay in the following amount and remit that amount to the Union of Rutgers Administrators-American Federation of Teachers, 1766 COPE fund.

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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