Contribute to PEOPLE

Yes! I want to contribute to our PEOPLE political fund!

As public service workers, AFSCME members elect our bosses. My PEOPLE membership will help ensure we elect pro-worker politicians who will protect our benefits and pensions, and fight for working families across America.

First Name

Last Name

Home Address

Apartment, Suite, etc.

City

State

ZIP/Postal Code

Personal Email

Employer

Department

Job Title

Work Hours

Work Site Address

Employee Number

Local #

Chapter

Home Phone

Work Phone

Cell Phone †

† By providing my cell phone number I consent to receive calls (including recorded or autodialed calls, or texts) at that number from AFSCME and its affiliated labor, political and charitable organizations on any subject matter. My carrier’s rates may apply. I may modify my preferences by calling the Union at 218-885-3242 or emailing the Union at info@afscme65.org.

Choose one of the following options:

Payroll Deduction

Credit/Debit Card or Bank Account

Deduction per pay period

Become an AFSCME 65 PEOPLE MVP with a contribution of $4.25 or more per pay period.

$4.25/pay period

$10/pay period

$8/pay period

$6/pay period

Other amount

Preferred Sweatshirt Size

(for MVP Level or above)

Authorization

I hereby authorize AFSCME Council 65 to file this payroll deduction with my employer and authorize my employer and associated agencies to deduct each pay period the amount certified in the box provided as a voluntary contribution to AFSCME PEOPLE. Amounts so deducted are to be remitted within 30 days of the deduction to AFSCME PEOPLE, P.O. Box 65334, Washington, D.C. 20035-5334, to be used for the purpose of making political contributions and expenditures.

Signature

My electronic signature is a binding and valid signature. By signing here I agree to all of the terms and conditions set out in this authorization, which apply to my membership, dues payments and, if applicable, PEOPLE payments.

Date Signed

Date of Birth

By clicking ‘Submit’ below, I am requesting to receive a PEOPLE Contribution form for Credit/Debit Cards or Bank Accounts.

Contributions or gifts to AFSCME PEOPLE are not deductible for federal income tax purposes. All contributions to AFSCME PEOPLE are voluntary and will be used to support pro-worker candidates in federal, state and local elections. Contributions are not a condition of membership or employment and refusal to contribute is free of reprisal. Any contribution guideline is only a suggestion, and you may contribute more or less than that amount or nothing at all, and you will not be favored or disadvantaged because of your contribution amount or decision not to contribute. In accordance with federal law, AFSCME PEOPLE accepts contributions only from AFSCME members, executive and administrative personnel, and their families. Contributions from other persons will be returned. Federal law requires us to use our best effort to obtain and report the name, address, occupation and employer of each individual whose contributions exceed $200 in a calendar year.