Coast Federation of Classified Employees
AFT Local 4794
Membership Dues - Payroll Authorization
To The Coast Community College District
Dues to the Coast Federation of Classified Employees are point seven percent (0.7%) of annual base salary, plus affiliate per capita charges. These charges are payable either in advance or through tenthly payroll deductions.
I hereby authorize the Coast Community College District to deduct from my salary dues in the amount of point seven percent of my annual base salary, plus affiliate per capita charges. I understand that this authorization shall be in full force and effect until revoked or changed in writing by the undersigned or by the CFCE. Revocations of dues authorizations are effective each August.
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_________________________ Date |
__________________________________________ Signature |
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_________________________ Work Extension |
__________________________________________ Print Name |
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________________________ Home Phone |
__________________________________________ Social Security Number |
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______________________________________________________________________ Home Address, City, Zip Code |
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Return Completed Form to: CFCE, Golden West College
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For Office Use Only: |
Salary |
$____________ |
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Annual Dues |
$____________ |
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Tenthly Deduction |
$____________ |
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Total Deductions |
$____________ |
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