RWDSU/UFCW Local 338 Political Action Committee (PAC)1505 Kellum Place, Mineola NY 11501(516) 294-1338
Effective with my next pay period I hereby authorize and direct my employer...
I hereby authorize and direct my employer to deduct the sums indicated above from my paycheck each pay period and forward them to the Local 338 RWDSU/UFCW Political Action Committee. I do so with the understanding that:
By clicking this "Submit" button I am attesting to the truthfulness of the statements on this form, that I am the person listed on this form, that I am authorizing the deduction of the amounts so indicated by me and their forwarding by my employer to the Local 338 RWDSU/UFCW PAC, and that it is my intent to electronically sign this authorization as the legal equivalent of having placed my handwritten signature on the authorization document being submitted to my employer and the PAC.