Action Network

AFSCME PEOPLE Card

PEOPLE Contributor Form

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Address Line 2

By providing your cell phone number, you consent to receive calls (including recorded or autodialed calls, or texts) at that number from the Union and its affiliates on a periodic basis. The Union will never charge for text message alerts. Your carrier’s rates may apply. You may modify your preference by emailing the WFSE Member Connection Center (MCC) at MCC@WFSE.org or by calling the MCC at 833-MCC-WFSE (833-622-9373).

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Deduction per pay period $5 per pay period $10 per pay period $20 per pay period OTHER (enter amount below)

If you prefer to name a different amount than is listed above, please tell us what amount to deduct per pay period.

If you are already contributing and wish to increase your contributions, please enter the new total amount to deduct per pay period.

Jacket Size (PEOPLE Jacket) *

I hereby authorize my employer and associated agencies to deduct, each pay period, the amount selected above to be paid to the treasurer of American Federation of State, County, and Municipal Employees PEOPLE. AFSCME, AFL-CIO, POB Box 65334, Washington DC 20035-5334, to be used for the purpose of making political contributions and expenditures. My contribution is voluntary, and I understand that it is not required as a condition of my membership or as a condition of continued employment, and is free of reprisal. I understand that any contribution guideline is only a suggestion and I am free to contribute more or less than that amount and will not be favored or disadvantaged due to the amount of my contribution or refusal to contribute, and that I may revoke this authorization at any time giving written notice. *

I agree * By checking this box , I agree that my typed name above is the electronic representation of my signature and is legally binding - just the same as a pen-and-paper signature

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Sponsored by: Washington Federation of State Employees (WFSE)