I hereby authorize Please Select Duquesne Light Company Energy Harbor GenOn Port Authority Peoples Gas to deduct the sum of $Enter Dollar Amountper pay ($1.00 per pay minimum, 24 pays per year) or $Enter Dollar Amount per month ($1.00 per deduction minimum, 12 pays per year) and to forward that amount to Local 29 of the International Brotherhood for Electrical Workers, Committee on Political Education. This authorization is signed voluntarily and not out of any fear of reprisal and on the understanding that IBEW-COPE is engaged in a joint fundraising effort with the AFL-CIO. Money contributed to that effort to make political contributions and expenditures in connection with federal and state elections, and that this voluntary authorization may be revoked at any time by notifying the Company and Local 29, IBEW-COPE in writing of a desire to do so. Contributions or gifts to IBEW-COPE are not deductible as a charitable contribution for federal income tax purposes.Date: Date Employee: First Name Last Name Employee no.: Employee No. Signature: Signature