I subscribe, freely and voluntarily, the sum indicated beloweach week to DRIVE with the understanding that this voluntary contribution may be used by DRIVE for political purposes consistent with the labor-related goals of DRIVE, including contributions to support candidates for local, state, and federal offices. I understand my right to refuse to contribute or to discontinue this contribution without special reprisal and that the amounts below serve merely as suggestions. I further hereby authorize and request my employer to deduct from my earnings the sum indicated below each week to be remitted to National DRIVE.
I reserve the right in accordance with the applicable state and federal laws to revoke this voluntary authorization at any time by giving written notice of such revocation to National DRIVE in accordance with such laws and otherwise.