Issue link: https://digital.copcomm.com/i/1543164
Following is my voluntary contribution to the IATSE Political Action Committee (IATSE PAC) www.IATSEPAC.net Please print clearly and complete all information. NAME_________________________________________________________________________________________________________________________ LOCAL_______________ HOME ADDRESS______________________________________________________________ CITY________________________________ STATE_________ ZIP________________ EMPLOYER__________________________________________________________________________ TITLE/OCCUPATION________________________________________________ PHONE________________________________________ EMAIL___________________________________________________________ WEBSITE USER ID______________________ CREDIT/DEBIT CARD #_____________________________________________________ EXP. DATE___________________________ CARD SECURITY CODE (CID)_____________ BILLING ADDRESS_____________________________________________________________ CITY________________________________ STATE_________ ZIP ______________ SIGNATURE___________________________________________________________________________________________ DATE____________________________________________ YES, I'LL JOIN THE STAND UP, FIGHT BACK CAMPAIGN! First MI Last Suffix If you have multiple employers, please use "Self-Employed" or use your current employer (at time of contribution) per guidance from the FEC. "Various Entertainment Employers" is not acceptable. If different from home address. Please do not abbreviate. IATSE PAC website access This contribution is made based on my understanding that participation in IATSE PAC is voluntarily and not a condition of membership in the union or em- ployment. IATSE PAC is a federally registered political action committee, and the contributions it receives are used to support federal and state candidates and committees for the advancement of our Union. No part of my contribution will be used to pay administrative expenses of the PAC. I understand that the contribution guideline is a suggestion; and that I may contribute more, less, or nothing without favor or fear of reprisal. Federal law requires IATSE PAC to report the name, mailing address, occupation and employer of individuals whose aggregate contributions exceed $200.00 in a calendar year. Contributions are not deductible as charitable contributions for federal income tax purposes. IATSE PAC may only accept contributions from US citizens or valid green card holders. EMAIL IATSEPAC@iatse.net FAX 301-645-0117 INTERNAL USE ONLY: IATSE PAC ID _______________ A Multi-Candidate PAC * FEC Committee ID# C00344325 Printed In House OPTION 1: OPTION 2: OPTION 3: One-Time contribution via check, cash, or money order in the amount of: $__________________ *Checks must be issued from a bank account held in the name of the contributor and signed by the contributor. Please do not send cash in the mail One-Time contribution via credit/debit card in the amount of: $__________________ Recurring monthly contribution via credit/debit card in the amount selected below. I authorize IATSE PAC to initiate a recurring monthly deduction from my credit/debit card. This authorization will remain in force until IATSE PAC receives written notification to cancel this authorization. President's Club $40.00 per month Leader's Club $20.00 per month Activist's Club $10.00 per month Other Monthly Amount $_____________ PLEASE INDICATE YOUR LEVEL OF SUPPORT FROM THE OPTIONS BELOW. RETURN THIS FORM TO US BY: MAIL IATSE PAC, PO Box 579, Port Tobacco, MD 20677