IUPAT INTERNATIONAL UNION OF PAINTERS AND ALLIED TRADES, AFL-CIO

“OF MY OWN FREE WILL AND ACCORD, I DO NOW COVENANT TO KEEP THE AFFAIRS OF THIS INTERNATIONAL UNION STRICTLY PRIVATE, UNLESS EMPOWERED TO REVEAL THE SAME. I WILL ABIDE BY ITS LAWS, BOTH GENERAL AND LOCAL, AND WILL USE ALL HONORABLE MEANS TO PROCURE EMPLOYMENT FOR BROTHER OR SISTER MEMBERS. I WILL HONOR AND ABIDE OUR INTERNATIONAL UNION’S COMMITMENT TO ORGANIZE THE UNORGANIZED AND WILL SUPPORT AND PARTICIPATE, IN OUR UNION’S EFFORTS AND PROGRAMS RELATING TO ORGANIZING, TRAINING, EDUCATION AND SUPPORT FOR OTHER LABOR AND WORKERRELATED CAUSES. I WILL MAKE ALL POSSIBLE EFFORT TO ATTEND THE MEETINGS, AND WILL PAY ALL DUES AND ASSESSMENTS LEVIED IN ACCORDANCE WITH THE LAWS. I FURTHER AGREE THAT, SHOULD IT BE HEREAFTER DISCOVERED THAT I HAVE MADE ANY MISSTATEMENTS AS TO MY QUALIFICATIONS FOR MEMBERSHIP, I BE DEBARRED FROM ALL BENEFITS PROVIDED BY THIS INTERNATIONAL UNION. I WILL BE OBEDIENT TO AUTHORITY, ORDERLY IN ITS MEETINGS, RESPECTFUL IN WORDS AND ACTIONS, CHARITABLE IN JUDGMENT OF MY BROTHER OR SISTER MEMBERS AND WILL NEVER, FROM SELFISH MOTIVES, WRONG A BROTHER OR SISTER, OR SEE HIM OR HER WRONGED, IF IN MY POWER TO PREVENT IT. I WILL RENDER FULL ALLEGIANCE TO THIS INTERNATIONAL UNION, AND NEVER CONSENT TO SUBORDINATE ITS INTERESTS TO THOSE OF ANY OTHER ORGANIZATION OF WHICH I AM NOW OR MAY, HEREAFTER, BECOME A MEMBER. I FURTHER PROMISE, THAT WHENEVER AND WHEREVER POSSIBLE, I WILL PURCHASE ONLY STRICTLY UNION MADE GOODS, THAT I WILL USE MY BEST ENDEAVORS TO INFLUENCE OTHERS TO DO THE SAME. TO ALL OF THIS I PROMISE AND PLEDGE, TO OBSERVE AND KEEP THE SAME AS A TRUE AND FAITHFUL MEMBER OF THE INTERNATIONAL UNION OF PAINTERS AND ALLIED TRADES.”

I UNDERSTAND THAT IF IT IS FOUND AT ANY TIME THAT I HAVE MADE FALSE STATEMENTS OF ANY KIND IN THIS APPLICATION, MY MEMBERSHIP MAY BE DECLARED VOID, AND ALL MONEY PAID BE FORFEITED. THIS SIGNATURE ACKNOWLEDGES I HAVE READ AND AGREE TO THE ABOVE AND TO ABIDE BY THE OBLIGATION. DUES, ASSESSMENTS OR CONTRIBUTIONS TO IUPAT ARE NOT DEDUCTIBLE AS CHARITABLE CONTRIBUTIONS FOR FEDERAL INCOME TAX PURPOSES.

THIS IS TO AUTHORIZE ANY OF THE VARIOUS EMPLOYERS WHO ARE SIGNATORY TO AN AGREEMENT WITH DISTRICT COUNCIL

THEREOF, AND BY WHOM MAY BE EMPLOYED UNDER, AND DURING THE TERM OF SUCH AGREEMENT OR ANY RENEWAL THEREOF, O DEDUCT FROM MY PAY THE SUM OF FOR EACH HOUR THAT RECEIVE MY PAY (OR FROM EACH REGULAR PAYCHECK S WEEKLY) AS CONTRIBUTION TO THE POLITICAL ACTION TOGETHER POLITICAL COMMITTEE (PAT P( OF THE INTERNATIONAL UNION OF PAINTERS AND ALLIED TRADES FURTHER AUTHORIZE AND DIRECT THE EMPLOYER TO SEND TO THE "COMBINED NATIONAL FUND," ON OR BEFORE THE TWENTIETH DAY OF EACH MONTH, THE CONTRIBUTIONS AND REPORT ON CONTRIBUTIONS FOR THE PREVIOUS WORK MONTH CHECKS SHAL BE MADE PAYABLE THE "IUPAT COMBINED FUNDS' AND MAILED ro THE "IUPAT COMBINED FUNDS"P.O BOX 92869, CHICAGO, nL 60675 2869. FURTHER AUTHORIZE AND DIRECT THE EMPLOYER TO HONOR ANY INSTRUCTIONS THAT IT MAY RECEIVE FROM DULY AUTHORIZED REPRESENTATIVE OF PAT PO CONCERNING CHANGE IN MAILING OR PAYMENT INSTRUCTIONS RELATING TO THESE 

), AFFILIATED WITH THE INTERNATIONAL UNION OF PAINTERS AND ALLIED TRADES, INCLUDING ANY RENEWAL

THEREOF, AND BY WHOM I MAY BE EMPLOYED UNDER, AND DURING THE TERM OF SUCH AGREEMENT OR ANY RENEWAL THEREOF, TO DEDUCT FROM MY PAY THE SUM OF WEEKLY) AS A CONTRIBUTION TO THE POLITICAL ACTION TOGETHER—POLITICAL COMMITTEE (PATPC) OF THE INTERNATIONAL UNION OF PAINTERS AND ALLIED TRADES. I FURTHER AUTHORIZE AND DIRECT THE EMPLOYER TO SEND TO THE "COMBINED NATIONAL FUND," ON OR BEFORE THE TWENTIETH DAY OF EACH MONTH, THE CONTRIBUTIONS AND REPORT ON CONTRIBUTIONS DUE FOR THE PREVIOUS WORK MONTH. CHECKS SHALL BE MADE PAYABLE TO THE "IUPAT COMBINED FUNDS" AND MAILED TO THE "IUPAT COMBINED FUNDS" P.O. BOX 92869, CHICAGO, IL 606752869. I FURTHER AUTHORIZE AND DIRECT THE EMPLOYER TO HONOR ANY INSTRUCTIONS THAT IT MAY RECEIVE FROM A DULY AUTHORIZED REPRESENTATIVE OF PATPC CONCERNING A CHANGE IN MAILING OR PAYMENT INSTRUCTIONS RELATING TO THESE

FOR EACH HOUR THAT I RECEIVE MY PAY (OR FROM EACH REGULAR PAYCHECK $

CONTRIBUTIONS, SHOULD SAME OCCUR.

THIS AUTHORIZATION IS VOLUNTARILY MADE BASED ON THE SPECIFIC UNDERSTANDING THAT THE SIGNING OF THIS AUTHORIZATION CARD AND THE MAKING OF THESE VOLUNTARY CONTRIBUTIONS ARE NOT CONDITIONS OF MEMBERSHIP IN THE UNION OR OF EMPLOYMENT BY MY EMPLOYER; THAT I MAY REFUSE TO CONTRIBUTE WITHOUT REPRISAL; THAT THE PATPC AND THE AFLCIO COPE ARE ENGAGED IN JOINT FUND RAISING AND USE THE MONEY THEY RECEIVE FOR POLITICAL PURPOSES, INCLUDING BUT NOT LIMITED TO MAKING CONTRIBUTIONS TO AND EXPENDITURES FOR CANDIDATES FOR FEDERAL, STATE AND LOCAL OFFICES AND ADDRESSING POLITICAL ISSUES OF PUBLIC IMPORTANCE; AND THAT THE GUIDELINE AMOUNT INDICATED ABOVE IS ONLY A SUGGESTION AND I MAY CONTRIBUTE MORE OR LESS, AND I WILL NOT BE FAVORED OR DISADVANTAGED BY THE UNION OR MY EMPLOYER FOR DOING SO.

OF MY OWN FREE WILL, I AUTHORIZE DISTRICT COUNCIL PERTAINING TO WAGES, HOURS, AND OTHER CONDITIONS OF EMPLOYMENT. IF IN CONSTRUCTION, THIS AUTHORIZATION APPLIES TO MY PRESENT EMPLOYER FOR ANY JOB SITES ON WHICH I AM WORKING, AND TO ALL FUTURE EMPLOYERS FOR ANY JOB SITES ON WHICH I MAY WORK. I UNDERSTAND THAT THIS AUTHORIZATION CAN BE USED BY THE DISTRICT COUNCIL (OR LOCAL UNION) TO PETITION FOR AN NLRB ELECTION OR OBTAIN RECOGNITION FROM MY EMPLOYER WITHOUT AN ELECTION.

), AFFILIATED WITH THE INTERNATIONAL UNION OF PAINTERS AND ALLIED TRADES, TO ACT FOR ME AS MY EXCLUSIVE COLLECTIVE BARGAINING REPRESENTATIVE IN ALL MATTERS

THIS IS TO AUTHORIZE ANY EMPLOYER WHO IS SIGNATORY TO A COLLECTIVE BARGAINING AGREEMENT (CBA) WITH DISTRICT COUNCIL THE TERM OF SUCH CBA OR ANY RENEWAL THEREOF, TO DEDUCT FROM MY WAGES AND TRANSMIT TO THE UNION AN AMOUNT EQUAL TO ADMINISTRATIVE DUES DUE UNDER THE UNION'S CONSTITUTION OR BYLAWS AS AMENDED FROM TIME TO TIME.

, THE IUPAT OR ANY LABOR ORGANIZATION AFFILIATED WITH IUPAT (“THE UNION”), AND BY WHOM I MAY BE EMPLOYED DURING

THIS AUTHORIZATION IS NOT CONTINGENT ON MY FUTURE MEMBERSHIP IN THE UNION BUT SHALL REMAIN IN EFFECT UNTIL REVOKED BY ME. THIS AUTHORIZATION SHALL BE IRREVOCABLE UNTIL (A) ONE YEAR FOLLOWING THE DATE IT WAS INITIALLY SIGNED OR (B) UNTIL THE TERMINATION OF THE CBA IN EFFECT BETWEEN MY EMPLOYER AND THE UNION WHICH IS IN FORCE ON THE DATE I EXECUTED THIS AUTHORIZATION, WHICHEVER OCCURS SOONER. IF NOT TIMELY REVOKED, THIS AUTHORIZATION SHALL BE AUTOMATICALLY RENEWED AND IRREVO CABLE FOR SUCCESSIVE PERIODS OF (A) ONE YEAR EACH, OR (B) THE DURATION OF THE THEN EFFECTIVE CBA BETWEEN THE UNION AND MY EMPLOYER, WHICHEVER IS SOONER. TO BE TIMELY, THE WRITTEN REVOCATION MUST BE GIVEN TO THE UNION AND MY EMPLOYER NOT MORE THAN 20 DAYS AND NOT LESS THAN 10 DAYS PRIOR TO ANY PERIODIC RENEWAL DATE. I UNDERSTAND THAT UNION DUES ARE NOT DEDUCTIBLE AS CHARITABLE CONTRIBUTIONS FOR FEDERAL TAX PURPOSES.

THIS IS TO FURTHER AUTHORIZE SAID EMPLOYERS, WHEN I AM WORKING FOR THEM OR ANY ONE OF THEM WITHIN THE JURISDICTION OF ANY UNION AFFILIATED WITH THE INTERNATIONAL UNION OF PAINTERS AND ALLIED TRADES OTHER THAN MY OWN LOCAL UNION, TO

DEDUCT FROM MY WAGES THE AMOUNT OF ADMINISTRATIVE DUES OR BUSINESS AGENT “ASSESSMENT” (IN THE NATURE OF DUES), PROVIDED FOR IN THAT OTHER UNION’S BYLAWS, AND REMIT SUCH AMOUNT TO THAT OTHER UNION; AND IF THERE IS NO PROVISION FOR ADMINISTRATIVE DUES OR BUSINESS AGENT “ASSESSMENT” (IN THE NATURE OF DUES) IN THE BYLAWS OF THAT OTHER UNION, I AUTHORIZE SAID EMPLOYERS TO CONTINUE TO DEDUCT FROM MY WAGES THE AMOUNT SPECIFIED IN THE FIRST SENTENCE OF THIS AUTHORIZATION AND REMIT THE SAME TO MY OWN UNION.