CWA Political Action Fund E-card (for AT&T employees)

First Name *This question is required.

Last Name *This question is required.

Occupation *This question is required.

Employee ID (ATTUID) *This question is required.

Local No. *This question is required.

Home Address *This question is required.

City *This question is required.

Zip *This question is required.

Personal Email Address *This question is required. This question requires a valid email address.

Personal Cell Phone *This question is required.

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1. Amount to Deduct Per Pay Period *This question is required.

2. How often does your employer pay you? *This question is required.

Please enter an 'other' value for this selection.

3. Select one: *This question is required.

4. Political Contributions Authorization *This question is required.

THIS AUTHORIZATION IS VOLUNTARILY MADE BASED ON MY SPECIFIC UNDERSTANDING THAT:

The signing of this authorization card and the making of contributions to CWA COPE PCC are not conditions of membership in the union nor of employment with the Company and that I may refuse to do so without fear of reprisal.

I am making a contribution to a joint fund-raising effort sponsored by CWA-COPE PCC and the AFL-CIO Committee on Political Education Political Contributions Committee (“AFL-CIO COPE PCC”) and that CWA-COPE PCC and AFL-CIO COPE PCC will use my contributions for political purposes, including but not limited to, the making of contributions to or expenditures on behalf of candidates for federal, state, and local offices and addressing political issues of public importance.

Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation, and the name of employer of individuals whose contributions exceed $200 in a calendar year.

Contributions or gifts to CWA-COPE PCC and AFL-CIO COPE PCC are not deductible as charitable contributions for federal income tax purposes.

Electronic Signature

This typed electronic signature is equivalent to, and in place of, a hand-written signature. CWA and I agree that this card may be electronically signed and that the electronic signature appearing here is the same as a handwritten signature for the purposes of validity, enforceability, and admissibility. *This question is required.

Signature Date: 03/27/2025

CWA Political Action Fund E-card (for AT&T employees)

CWA Political Action Fund E-card

Political Contributions Committee Payroll Deduction Form

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