CHECK OFF AUTHORIZATION AND ASSIGNMENT
I, ______________________ hereby authorize my employer to deduct from my wages each and every month an amount equal to the monthly dues, initiation fees and uniform assessments of Local Union 997, and direct such amounts so deducted to be turned over each month lo the Secretary-Treasurer ol such Local Union for and on my behalf.
This authorization is voluntary and is not conditioned on my present or future membership in the Union.
This authorization and assignment shall be irrevocable for the term of the applicable contract between the union and the employer or for one year, whichever is the lesser, and shall automatically renew itself for successive yearly or applicable contract periods thereafter, whichever is lesser, unless I give written notice lo the company and the union at least sixty (60 days), but not more than seventy-five (75) days before any periodic renewal date of this authorization and assignment of my desire to revoke same.
I authorize Local Union 997 to enforce and transfer this Authorization to any Employer that it has under contract, including my present Employer, should I terminate my employment and be re-employed in the future. I further agree that, due to my negligence, should I not comply with the terms of this authorization and assignment, I will accept liability for any and all initiation fees, dues and assessments retroactive for any negligent period.